Search › Illinois › 103TC0700X
Frederic Golden, PHD
NPI 1770613218 · on the registry since 2007
Practice
- Address
- 400 S Main
Wood River, IL 62095 - Phone
- (618) 251-2175
- Fax
- (618) 251-6294
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois