Dr ERIC M GODDARD is a male medical professional, specializing in Physician Assistant. He graduated in 2017.
INNOVATIVE HOSPITAL CARE, LLC
7950 W JEFFERSON BLVD
FORT WAYNE
IN
468044140
Tel: 2602039600
| Npi | 1053824763 |
| Pac Id | 7810254018 |
| Professional Enrollment Id | I20171127000080 |
| Last Name | GODDARD |
| First Name | ERIC |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | INNOVATIVE HOSPITAL CARE, LLC |
| Group Practice Pac Id | 2466615570 |
| Number Of Group Practice Members | 41 |
| Line 1 Street Address | 7950 W JEFFERSON BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 468044140 |
| Phone Number | 2602039600 |
| Hospital Affiliation Ccn 1 | 150017 |
| Hospital Affiliation Lbn 1 | LUTHERAN HOSPITAL OF INDIANA |
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| Professional Accepts Medicare Assignment | Y |
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