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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JESSE LEE GOODMAN, PA-C

Active Sole Proprietor

MR. JESSE LEE GOODMAN, PA-C is a Physician Assistant healthcare provider located in LAWTON, Oklahoma. NPI 1699843342 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAWTON, OK

Registration Details

NPI Number
1699843342
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2006 (19.556556684606 yrs)
Last Updated
Apr 16, 2013
License
2244 (OK)
Sole Proprietor
Yes

Practice Information

Address
1515 NE LAWRIE TATUM RD
LAWTON, OK, 735073002
Browse OK providers · Browse ZIP 73507
Phone
5803545100
Fax
5803545105
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAWTON, OK

Name Credential NPI
MR. THOMAS LEE MILLS PHYSICIAN ASSISTANT 1033116363
LONNIE SCHOLL PA-C 1043264575
SHERRYL A. EVANS PA 1144232570
LEONARD SIMS MCNEIL P.A. 1598830200
ADAM M WEAVER PA-C 1982928917
BRIAN ANDREW JANEK PA-C 1871888628
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.