Individual
DR. WILLIAM HAMMACK GOODSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 W 74TH ST, OVERLAND PARK, KS 66204-4004
(510) 535-7618
Mailing address
3901 RAINBOW BLVD, MAILSTOP 1046, KANSAS CITY, KS 66160
(913) 588-6944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0443351
KS
Other
Enumeration date
04/23/2014
Last updated
08/26/2020
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