Individual
MELISSA DAWN GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
310 WEST. LOSEY STREET, SCOTT AFB, IL 62225
(618) 256-7311
(618) 641-5812
Mailing address
310 WEST. LOSEY STREET, SCOTT AFB, IL 62225
(618) 256-7311
(618) 641-5812
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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