Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 204426 | LA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | T1918 | MS |
NPI | 1023239134 |
---|---|
Provider Name | Michael Albert Goodier |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Gonzales, LA 70737-5023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/01/2021 |