Stephanie R Goggin OD

NPI 1013965367 - Optometrist - 152W00000X

NPI Details
NPI 1013965367
Gender Female
Enumeration Date 05/05/2006
Last Updated 12/08/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
6620 CENTER GROVE ROAD
EDWARDSVILLE IL, 62025-2802, US
Phone (618) 659-1900
Fax (618) 659-1901
Business Location
6620 CENTER GROVE RD
SUITE 3
EDWARDSVILLE IL, 62025-2802, US
Phone (618) 659-1900
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046-009281
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According to our database, Dr. Stephanie R Goggin OD NPI is 1013965367, taxonomy code is 152W00000X and license number is 046-009281, license state is located at Illinois. Stephanie R Goggin OD physically located at 6620 Center Grove Road, Edwardsville IL, 62025-2802. NPI Number Stephanie R Goggin OD has the Individual type.

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1013965367 NPI number is provided on an as is basis without warranty of any kind. 1013965367 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie R Goggin OD are for informational purposes only.