DR. Stephanie R Goggin, OD

NPI #1013965367 in Edwardsville, Illinois

Provider Information

NPI Number: 1013965367
Entity Type: Individual
Name: DR. Stephanie R Goggin, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 5, 2006
Last Updated: Dec 8, 2011

Practice Location

Address: 6620 CENTER GROVE ROAD
City: Edwardsville
State: Illinois
ZIP Code: 62025-2802
Phone: (618) 659-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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