Provider Demographics
NPI:1861466872
Name:GOODHOPE, MICHAEL CHRIS (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHRIS
Last Name:GOODHOPE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2820 MOUNT RUSHMORE RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5462
Mailing Address - Country:US
Mailing Address - Phone:605-721-8354
Mailing Address - Fax:605-721-8458
Practice Address - Street 1:2006 MOUNT RUSHMORE RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4622
Practice Address - Country:US
Practice Address - Phone:605-348-2273
Practice Address - Fax:605-348-3529
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD7227207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine