Individual
MR. STUART MITCHELL GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209024392
IL
367500000X
Certified Registered Nurse Anesthetist
60330629
WA
367500000X
Certified Registered Nurse Anesthetist
700881
TX
Other
Enumeration date
02/03/2010
Last updated
04/24/2025
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