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Individual

AMY MARIE GOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
550 HALLMARK DR, EATON, OH 45320-8648
(937) 456-4181
(937) 456-4649
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(937) 456-4181
(937) 456-4649

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A8044
CA
207Q00000X
Family Medicine Physician
2959
WV
207Q00000X
Family Medicine Physician
Primary
34.013747
OH

Other

Enumeration date
12/18/2006
Last updated
05/14/2021
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