Individual
DAVID E GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R8490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102482
HEALTHLINK
MO
05
—
200528503
—
MO
01
—
2086330401
KANSAS MEDICAID
KS
01
—
3304006
UNITED HEALTHCARE
MO
01
—
370015841
RR MEIDICARE
MO
Enumeration date
06/01/2006
Last updated
08/23/2022
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