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Individual

DR. ADAM DALE GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1906 N 20TH AVE, PASCO, WA 99301-3393
(509) 547-8409
Mailing address
2715 W COURT ST, PASCO, WA 99301-3911
(509) 547-8409
(509) 544-7875

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004156
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0223113
DEPT OF LABOR & INDUSTRY
WA
05
2033553
WA
01
P00425944
RAILROAD MEDICARE
WA
Enumeration date
07/16/2007
Last updated
09/12/2019
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