Pamela Pineda Goodell, M.D.
Pathology, Anatomic Pathology & Clinical Pathology in Peoria, IL. Individual provider (NPI-1).
NPI number1154580447
StatusActive
Last updated in NPPESAug 13, 2012
Details
- NPI
- 1154580447
- Entity type
- Individual (NPI-1)
- Name
- Pamela Pineda Goodell
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2008
- Last updated
- Aug 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036.128458 | IL | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 228357 | MA | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | MD439244 | PA |
Practice location
221 Ne Glen Oak AveDepartment Of Pathology
Peoria, IL 61636-0001
Phone 309-672-4964
Mailing address
Po Box 60070N Charleston, SC 29419-0070
Phone 866-759-4528
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