| Doctor Name: | DR. RICHARD M. GOODALE |
| NPI Number: | 1639274202 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD-4740 |
| Business Practice Address: | 4-1105 Kuhio Hwy Kapaa, HI - 967461665 |
| Business Phone Number: | 8088223431 |
| Business Fax Number: | 8088222798 |
| Mailing Address: | 3-3420 Kuhio Highway, Suite B LIHUE |
| State: | HI |
| Postal Code: | 967661098 |
| Phone Number: | 8088223431 |
| Fax Number: | 8088222798 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD-4740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |