Roy Goddard Jr, DO | |
1200 E Pecan St, Altus, OK 73521-6141 | |
(580) 482-4781 | |
(580) 481-2345 |
Full Name | Roy Goddard Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1200 E Pecan St, Altus, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437155710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2523 (Oklahoma) | Primary |
Entity Name | Jackson County Memorial Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
Mailing Address | Practice Location Address |
---|---|
Roy Goddard Jr, DO Po Box 8190, Altus, OK 73522-8190 Ph: (580) 482-4781 | Roy Goddard Jr, DO 1200 E Pecan St, Altus, OK 73521-6141 Ph: (580) 482-4781 |
Alisha Renee Miner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5000 Fax: 580-379-5509 | |
James Patrick Mcclay, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5601 Fax: 580-379-5609 | |
Grant A Spurling, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5000 Fax: 580-379-5509 | |
Dr. Jentry Mclaughlin, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5000 Fax: 580-379-5509 | |
Barry Isaac Davenport, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N 1st St Bldg 46, Altus, OK 73523 Phone: 580-481-5230 |