| William D. Goudy D.o., Pc | |
|
1306 E 7th St Suite B Auburn IN 46706-2537 | |
| (260) 927-1982 | |
| (260) 927-8380 |
| Full Name | William D. Goudy D.o., Pc |
|---|---|
| Speciality | General Practice |
| Location | 1306 E 7th St, Auburn, Indiana |
| Authorized Official Name and Position | William D. Goudy (CEO) |
| Authorized Official Contact | 2609271982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William D. Goudy D.o., Pc 1306 E 7th St Suite B Auburn IN 46706-2537 Ph: (260) 927-1982 | William D. Goudy D.o., Pc 1306 E 7th St Suite B Auburn IN 46706-2537 Ph: (260) 927-1982 |
| NPI Number | 1770701104 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 12/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770701104 | NPI | - | NPPES |
| 000000335961 | Other | IN | ANTHEM |
| DC0427 | Other | IN | MEDICARE RAILROAD |
| 100103820A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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