Dr GREGORY T GOODWIN is a male medical professional, specializing in Physician Assistant. He graduated in 1996.
KARUK TRIBE
1519 S OREGON ST
YREKA
CA
960973425
Tel: 5308429200
| Npi | 1427197920 |
| Pac Id | 9032292370 |
| Professional Enrollment Id | I20080211000349 |
| Last Name | GOODWIN |
| First Name | GREGORY |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | KARUK TRIBE |
| Group Practice Pac Id | 4688668387 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 1519 S OREGON ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | YREKA |
| State | CA |
| Zip Code | 960973425 |
| Phone Number | 5308429200 |
| Hospital Affiliation Ccn 1 | 051316 |
| Hospital Affiliation Lbn 1 | FAIRCHILD MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380018 |
| Hospital Affiliation Lbn 2 | ASANTE ROGUE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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