Organization
GODDARD MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA SHEELENE GODDARD MD (CHIEF EXECUTIVE OFFICER)
(913) 735-9044
Entity
Organization
Contact information
Practice address
11936 W 119TH ST # 158, OVERLAND PARK, KS 66213-2216
(913) 735-9044
Mailing address
11936 W 119TH ST # 158, OVERLAND PARK, KS 66213-2216
(913) 735-9044
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/25/2021
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