James Dean Gould in Festus - Specialist

James Dean Gould - NPI 1912908161

James Dean Gould is a Specialist in Festus, Missouri. James Dean Gould practices all healthcare services and medical treatments related to Specialist. The NPI Number for James Dean Gould is 1912908161. The last update date is 2007-10-02.

James Dean Gould's current location address is 1390 Highway 61, Festus, Missouri. You can contact this provider via phone number 6369317380 and fax number 6369375546. The mailing address for James Dean Gould is 1390 Highway 61, Festus, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name James Dean Gould
Address 1390 Highway 61, Festus, Missouri
Phone Number 6369317380
Fax Number 6369375546
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912908161
Provider Enumeration Date 2005-08-09
Last Updated Date 2007-10-02

Provider Mailing Address Detail

Address 1390 Highway 61
City Festus
State Missouri (MO)
Post Code 630284137
Phone Number 6369317380
Fax Number 6369375546

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 103466
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G95138 UPIN

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FAQs about James Dean Gould

What is the unique 10-digit identifier code issued to James Dean Gould by the Centers for Medicare & Medicaid Services?

The James Dean Gould has been assigned the NPI (National Provider Identifier) 1912908161 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where James Dean Gould is physically located?

The James Dean Gould is situated at the following address: 1390 Highway 61, Festus, MO 630284137.

What is the James Dean Gould's area of specialization and corresponding taxonomy classification?

The James Dean Gould's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1912908161 to James Dean Gould?

The James Dean Gould received its 1912908161 assignment from the Centers for Medicare & Medicaid Services on 2005-08-09.

As of what date were the James Dean Gould's details last updated?

The information pertaining to the James Dean Gould, including its address, specialty, and other details, was most recently updated on 2007-10-02.

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