Adam D Goddard is a Ophthalmology in Stillwater, Minnesota. Adam D Goddard practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Adam D Goddard is 1376657684. The last update date is 2020-05-14.
Adam D Goddard's current location address is 1719 Tower Dr W Ste 100, Stillwater, Minnesota. You can contact this provider via phone number 6512753000 and fax number 6512753027. The mailing address for Adam D Goddard is 1719 Tower Dr W Ste 100, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam D Goddard |
|---|---|
| Address | 1719 Tower Dr W Ste 100, Stillwater, Minnesota |
| Phone Number | 6512753000 |
| Fax Number | 6512753027 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1376657684 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2020-05-14 |
Provider Mailing Address Detail
| Address | 1719 Tower Dr W Ste 100 |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550827512 |
| Phone Number | 6512753000 |
| Fax Number | 6512753027 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 53005 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique 10-digit identifier code assigned to Adam D Goddard by the Centers for Medicare & Medicaid Services?
The Adam D Goddard has been issued the NPI (National Provider Identifier) 1376657684 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Adam D Goddard is physically located?
The Adam D Goddard is physically situated at the following address: 1719 Tower Dr W Ste 100, Stillwater, MN, 550827512.
What is Adam D Goddard's area of expertise and its corresponding taxonomy classification?
The Adam D Goddard's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376657684 to Adam D Goddard?
The Centers for Medicare & Medicaid Services originally issued the 1376657684 to Adam D Goddard on 2006-08-17.
As of what date was the information regarding Adam D Goddard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Adam D Goddard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-14.