Individual
GREGORY J. GOETZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
215 E 3RD ST, CARTHAGE, MO 64836-1661
(417) 359-0600
(417) 359-0601
Mailing address
215 E 3RD ST, CARTHAGE, MO 64836-1661
(417) 359-0600
(417) 359-0601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3101
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316731637
—
MO
Enumeration date
07/09/2006
Last updated
10/07/2008
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