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Christina Goodman, PA
Medical Physician Assistant in Rexburg, Idaho
NPI 1780691394

Christina Goodman is a Medical Physician Assistant based in Rexburg, ID and is specialized in Medical. Christina Goodman practices in Rexburg, ID and has the professional credentials of PA. The NPI Number for Christina Goodman is 1780691394 and holds a License No. PA591 (Idaho).

The current practice location address for Christina Goodman is 100 Student Health Center Building, Rexburg, ID and can be reached out via phone at 208-496-1300 and via fax at 208-496-1306.

Location: 100 Student Health Center Building, Rexburg, ID, 83440-3799
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780691394
Provider Name
Christina Goodman
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Student Health Center Building, Rexburg, ID, 83440-3799
Phone Number
208-496-1300
Fax Number
208-496-1306
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Student Health Center Building
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-496-1300
Fax Number
208-496-1306
person
Provider Business Mailing Address Details
Address
100 Student Health Center Building
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-496-1300
Fax Number
208-496-1306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA591 (Idaho)
Definition
Definition to come...
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