Individual
DR. MATTHEW MICHAEL GOODMANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2016019262
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD61069714
WA
208000000X
Pediatrics Physician
MD61069714
WA
Other
Enumeration date
02/14/2015
Last updated
02/24/2023
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