Charles E. Goff Jr., PA-C
Physician Assistant, Surgical in La Crosse, WI. Individual provider (NPI-1).
NPI number1982609608
StatusActive
Last updated in NPPESAug 15, 2013
Details
- NPI
- 1982609608
- Entity type
- Individual (NPI-1)
- Name
- Charles E. Goff Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2005
- Last updated
- Aug 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 1223 | WI | Yes |
Practice location
800 West Ave SLa Crosse, WI 54601-8806
Phone 608-782-9760 · Fax 608-775-4467
Mailing address
800 West Ave SLa Crosse, WI 54601-8806
Phone 608-792-9760 · Fax 608-775-4467
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