STEPHEN GOTH

PEORIA, IL
NPI1285999334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036-149255)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  61631)
Enumeration Date2012-07-05
Last Update Date2023-10-23
Business Address
Dr. STEPHEN GOTH M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-3522
Phone number: 309-655-2000
Mailing Address
Dr. STEPHEN GOTH M.D.
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272