Board Certified Plastic Surgeon, PA
Board Certified Plastic Surgeon, PA provides Specialist services in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.
- Licensed in
- AR
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2717 S 74th StFort Smith, AR 72903-5100 Not confirmed with CMS for 17 years — call before visiting
Phone: (479) 452-9080
Fax: (479) 452-7014
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence C4716 (AR) |
|---|
Record details
| NPI number | 1437283983 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Goodman — Owner · (479) 452-9080 |
| Other names | Raymond C. Goodman Jr, M.D. |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | December 31, 2008 |
| Mailing address | 2717 S 74th St, Fort Smith, AR 72903-5100 |
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