Organization
JOHN E. GOFF, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E GOFF M.D. (OWNER)
(417) 782-3600
Entity
Organization
Contact information
Practice address
104 S MAIN, CARL JUNCTION, MO 64834
(417) 782-3600
(417) 782-2734
Mailing address
PO BOX 1646, JOPLIN, MO 64802-1646
(417) 782-3600
(417) 782-2734
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R7320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201136603
—
MO
Enumeration date
09/30/2011
Last updated
10/06/2011
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