Provider Demographics
NPI:1740371012
Name:GOLDNER, RICHARD D (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:GOLDNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3480 DUKE MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-6461
Mailing Address - Fax:919-668-3017
Practice Address - Street 1:3480 DUKE MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-6461
Practice Address - Fax:919-668-3017
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC19343207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2066833Medicare PIN