Individual
MR. MARC JAMES GOEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12129 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8287
(515) 400-3550
Mailing address
12129 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8287
(515) 400-3550
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001294
IA
Other
Enumeration date
03/28/2006
Last updated
02/07/2023
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