Michael Steven Godat in Fort Leonard Wood - Physician Assistant

Michael Steven Godat - NPI 1194734749

Michael Steven Godat is a Physician Assistant in Fort Leonard Wood, Missouri. Michael Steven Godat practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Steven Godat is 1194734749. The last update date is 2007-07-08.

Michael Steven Godat's current location address is 126 Missouri Ave, Fort Leonard Wood, Missouri. You can contact this provider via phone number 5735960417 and fax number 5735960524. The mailing address for Michael Steven Godat is 126 Missouri Ave, Fort Leonard Wood, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Steven Godat
Address 126 Missouri Ave, Fort Leonard Wood, Missouri
Phone Number 5735960417
Fax Number 5735960524
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1194734749
Provider Enumeration Date 2006-08-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 126 Missouri Ave
City Fort Leonard Wood
State Missouri (MO)
Post Code 654738952
Phone Number 5735960417
Fax Number 5735960524

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2005037319
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Michael Steven Godat

What is the unique identification code assigned to Michael Steven Godat by the Centers for Medicare & Medicaid Services?

The Michael Steven Godat has been issued the NPI (National Provider Identifier) 1194734749. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michael Steven Godat's facilities are geographically located?

The facilities of Michael Steven Godat are physically situated at the following location: 126 Missouri Ave, Fort Leonard Wood, MO, 654738952.

What is Michael Steven Godat's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Steven Godat is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Michael Steven Godat receive its 1194734749 assignment from the Centers for Medicare & Medicaid Services?

The Michael Steven Godat was assigned its 1194734749 by the Centers for Medicare & Medicaid Services on 2006-08-05.

As of what date was the information regarding Michael Steven Godat, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Steven Godat, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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