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Shannon Goodall, MD
Student in an Organized Health Care Education/Training Program in Santa Barbara, California
NPI 1912570946

Shannon Goodall is a Student in an Organized Health Care Education/Training Program based in Santa Barbara, CA. Shannon Goodall practices in Santa Barbara, CA and has the professional credentials of MD. The NPI Number for Shannon Goodall is 1912570946 and holds a License No. (California).

The current practice location address for Shannon Goodall is 400 W. Pueblo Street, Santa Barbara, CA and can be reached out via phone at 805-569-7315 and via fax at 805-569-8358.

Location: 400 W. Pueblo Street, Santa Barbara, CA, 93105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912570946
Provider Name
Shannon Goodall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
400 W. Pueblo Street, Santa Barbara, CA, 93105
Phone Number
805-569-7315
Fax Number
805-569-8358
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W. Pueblo Street
City
Santa Barbara
State
California
Zip
93105
Phone Number
805-569-7315
Fax Number
805-569-8358
person
Provider Business Mailing Address Details
Address
400 W. Pueblo Street
City
Santa Barbara
State
California
Zip
93105
Phone Number
805-569-7315
Fax Number
805-569-8358
person
Provider's Taxonomy Details 1
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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