Individual
DR. ADAM DALE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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