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Blake Wellington Goodman, MD
Emergency Medicine Physician in Shreveport, Louisiana
NPI 1447646351

Blake Wellington Goodman is a Emergency Medicine Physician based in Shreveport, LA. Blake Wellington Goodman practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Blake Wellington Goodman is 1447646351 and holds a License No. (Louisiana).

The current practice location address for Blake Wellington Goodman is 1501 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-675-6632.

Location: 1501 Kings Hwy, Shreveport, LA, 71103-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447646351
Provider Name
Blake Wellington Goodman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1501 Kings Hwy, Shreveport, LA, 71103-3908
Phone Number
318-675-6632
Fax Number
Provider Enumeration Date
04/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 Kings Hwy
City
Shreveport
State
Louisiana
Zip
71103
Phone Number
318-675-6632
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Kings Hwy
City
Shreveport
State
Louisiana
Zip
71103
Phone Number
318-675-6632
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
309409 (Louisiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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