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MR. MICHAEL LEE GOODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871
(620) 872-5811
(620) 872-3660
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871
(620) 872-5811
(620) 872-3660

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
147414
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557200
KS

Other

Enumeration date
08/23/2013
Last updated
01/03/2018
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