MR. JESSE GOODMAN, PA-C

Physician Assistant

Active Individual
NPI: 1699843342

Practice Address

1515 NE LAWRIE TATUM RD
Lawton, OK 73507

Phone: (580) 354-5100

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 2244 (OK)

Frequently Asked Questions

NPI 1699843342 is the National Provider Identifier for MR. JESSE GOODMAN, PA-C, a Physician Assistant provider located in Lawton, OK. This NPI was enumerated on December 1, 2006.
MR. JESSE GOODMAN, PA-C practices at 1515 NE LAWRIE TATUM RD, Lawton, OK 73507.

Quick Facts

NPI
1699843342
Type
Individual
Enumerated
Dec 1, 2006
Last Updated
Apr 16, 2013

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