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STANLEY GOODING FNP
FNP
Family Nurse Practitioner
NPI: 1679019400Individual
Specialties, Licenses & Credentials
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
2017001791(MO)
Registered Nurse
Registered Nurse
Code: 163W00000X
131063(MO)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
209015670(IL)2017001791(MO)
Contact & Hours
- Address
- 5520 GODFREY RD
GODFREY, IL 62035 - Phone
- (618) 463-7800
Quick Facts
- NPI
- 1679019400
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
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