Individual
ANDREW LEE GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
ONE CHILDREN'S PLAZA, DAYTON CHILDREN'S HOSPITAL-CHILDREN'S ANESTHESIA GROUP,, DAYTON, OH 45404-1815
(937) 641-3350
(937) 641-6145
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2019003627
MO
367500000X
Certified Registered Nurse Anesthetist
COA.14539NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN.391120-1
OH
Other
Enumeration date
02/23/2013
Last updated
01/14/2025
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