| Thomas Perry Goodell, MD, PC | |
|
3810 E Grand Ave Ste B Laramie WY 82070-5181 | |
| (307) 742-9940 | |
| (307) 742-9946 |
| Full Name | Thomas Perry Goodell, MD, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 3810 E Grand Ave Ste B, Laramie, Wyoming |
| Authorized Official Name and Position | Thomas Perry Goodell (PRESIDENT) |
| Authorized Official Contact | 3077429940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Perry Goodell, MD, PC 3810 E Grand Ave Ste B Laramie WY 82070-5181 Ph: (307) 742-9940 | Thomas Perry Goodell, MD, PC 3810 E Grand Ave Ste B Laramie WY 82070-5181 Ph: (307) 742-9940 |
| NPI Number | 1366539686 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366539686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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