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Individual

DR. RICHARD B. GODING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5536
(712) 794-8523
Mailing address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5536
(712) 794-5823

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD-12942
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000248625
HMSA
HI
01
512253
HMA
HI
01
55383501
ALOHACARE
HI
05
55383501
HI
01
8558402
UHA
HI
01
99-0262194
HMAA
HI
01
I13708
KAISER
HI
Enumeration date
07/07/2006
Last updated
11/16/2020
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