Individual
DR. JAMES L GODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Mailing address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7G85
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110031981
RR MEDICARE
—
05
—
1558366724
—
MO
05
—
242411718
—
MO
Enumeration date
06/15/2005
Last updated
01/15/2019
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