ISAAC GOODMAN PA

PRESBYTERIAN HEALTHCARE SERVICES

Dr ISAAC GOODMAN PA is a male medical professional, specializing in Physician Assistant. He graduated in 2005.

Contact

PRESBYTERIAN HEALTHCARE SERVICES

200 EMILIO LOPEZ RD NW
LOS LUNAS
NM
870316818

Tel: 5058662700

ISAAC GOODMAN PA Information

Npi 1013929884
Pac Id 3870516248
Professional Enrollment Id I20161014001593
Last Name GOODMAN
First Name ISAAC
Middle Name
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2005
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRESBYTERIAN HEALTHCARE SERVICES
Group Practice Pac Id 9234041708
Number Of Group Practice Members 927
Line 1 Street Address 200 EMILIO LOPEZ RD NW
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LOS LUNAS
State NM
Zip Code 870316818
Phone Number 5058662700
Hospital Affiliation Ccn 1 320021
Hospital Affiliation Lbn 1 PRESBYTERIAN HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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