Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Zachary Avital Goodman, MD

Individual provider General Practice Physician · NPI 1790205854

Dr. Zachary Avital Goodman, MD is a General Practice Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6642 Clayton Rd # 278
Saint Louis, MO 63117-1602
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 2018042200 (MO)

Record details

NPI number1790205854
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESJanuary 30, 2019

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