Provider Demographics
NPI:1053816959
Name:GOOD, COLIN L (DO)
Entity type:Individual
Prefix:DR
First Name:COLIN
Middle Name:L
Last Name:GOOD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5156 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2424
Mailing Address - Country:US
Mailing Address - Phone:614-702-7655
Mailing Address - Fax:614-706-1770
Practice Address - Street 1:5156 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2424
Practice Address - Country:US
Practice Address - Phone:614-702-7655
Practice Address - Fax:614-706-1770
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.016900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine