Individual
DR. ANGELA LYNN GODEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3360
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3360
(304) 285-7373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01055006A
IN
207Q00000X
Family Medicine Physician
26581
WV
207Q00000X
Family Medicine Physician
Primary
40732
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55006A
—
SC
01
—
P00756632
RAILROAD MEDICARE
SC
Enumeration date
04/10/2006
Last updated
12/07/2017
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