Individual provider · NPI-1

Dr. Anthony Allen Goodman, m.d.

Surgery · Bozeman, MT

NPI number1043465313
StatusActive
Last updated in NPPESNov 29, 2008

Details

NPI
1043465313
Entity type
Individual (NPI-1)
Name
Dr. Anthony Allen Goodman
Credential
m.d.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 29, 2008
Last updated
Nov 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery7557MTYes

Practice location

2555 Deer Creek Dr
Bozeman, MT 59715-7728

Phone 406-585-5452

Mailing address

2555 Deer Creek Dr
Bozeman, MT 59715-7728

Phone 406-585-5452

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