Goddard, Richard Mark

Goddard, Richard Mark is an individual health care provider with primary practice located at 5445 Avenue O , Fort Madison IA 52627-9611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Goddard, Richard Mark can be contacted via phone (319) 768-1000.

Contact Information

Primary practice address
5445 Avenue O Fort Madison IA 52627-9611
Phone: (319) 768-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 116496935-1205 Utah
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD-31157 Iowa

Profile Details

NPI number 1174563332
LBN Legal business name Goddard, Richard Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174563332 NPPES
California MEDICAID 00G676600

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