Wade Godshall, OD

NPI #1013072867 in Blue Springs, Missouri

Provider Information

NPI Number: 1013072867
Entity Type: Individual
Name: Wade Godshall, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 22, 2006
Last Updated: Feb 12, 2021

Practice Location

Address: 2248 SW STATE ROUTE 7
City: Blue Springs
State: Missouri
ZIP Code: 64014-3957
Phone: (816) 228-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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