Individual
DR. ADAM MITCHELL GOODREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
CHILDREN'S MERCY HOSPITAL, ATTN: PROVIDER ENROLLMENT, 2401 GILLHAM ROAD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2023031311
MO
Other
Enumeration date
05/16/2016
Last updated
08/14/2023
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