Individual
MR. MICHAEL L GOODMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 N 4TH ST, BURLINGTON, KS 66839-2602
(620) 364-2121
(620) 364-8425
Mailing address
1310 PENOBSCOT ST, BURLINGTON, KS 66839-2279
(620) 364-5688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-031143-061
KS
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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