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Organization
TODD GOULD MD INC
Active
Organization
TODD GOULD MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD J GOULD MD (PRESIDENT)
(937) 335-9020
Entity
Organization
Contact information
Practice address
821 NICKLIN AVE, PIQUA, OH 45356
(937) 778-1812
(937) 778-9114
Mailing address
821 NICKLIN AVE, PIQUA, OH 45356-1739
(937) 778-1812
(937) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-07-0691G
NULL
207W00000X
Ophthalmology Physician
Primary
35-07-0691G
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012948
ANTHEM
—
01
—
0800753
UNITED HEALTH CARE
—
01
—
150957CR
PREFERRED CARE
—
01
—
180027332
RR MED
—
05
—
2014680
—
OH
01
—
491600699002
MEDICAL MUTUAL
—
Enumeration date
11/23/2005
Last updated
04/29/2008
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