Individual
STEPHEN RAY GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 SOUTH HIGH ST., GRANT CITY, MO 64456
(660) 564-2204
(660) 564-3420
Mailing address
18257 LYON AV., GRANT CITY, MO 64456
(660) 541-2471
(660) 564-3420
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
5463
MO
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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