Individual
DR. MICHAEL W. GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 S NATIONAL AVE, STE 115, SPRINGFIELD, MO 65807-7304
(417) 888-5666
(417) 890-4174
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4J10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202631362
—
MO
01
—
29117
BLUE CROSS MO
—
Enumeration date
09/20/2006
Last updated
10/11/2011
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