Organization
STEPHEN E GODAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY HARPER (OFFICE ADMINISTRATOR)
(970) 867-4911
Entity
Organization
Contact information
Practice address
231 PROSPECT ST, SUITE A, FORT MORGAN, CO 80701-3161
(970) 867-4911
Mailing address
PO BOX 905, FORT MORGAN, CO 80701-0905
(970) 867-4911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34790
CO
208000000X
Pediatrics Physician
34790
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95609521
—
CO
Enumeration date
01/29/2007
Last updated
04/02/2008
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