Individual
ADAM MATTHEW GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049
(785) 843-9125
(785) 505-5312
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
94-07445
KS
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
04-38692
KS
Other
Enumeration date
06/23/2010
Last updated
09/05/2024
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