# TODD GOULD MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336122373
- **Authorized official:** TODD J GOULD MD (PRESIDENT)
- **Authorized official phone:** (937) 335-9020

## Contact information

- **Practice address:** 821 NICKLIN AVE, PIQUA, OH 45356
- **Practice address phone:** (937) 778-1812
- **Practice address fax:** (937) 778-9114
- **Mailing address:** 821 NICKLIN AVE, PIQUA, OH 45356-1739
- **Mailing address phone:** (937) 778-1812
- **Mailing address fax:** (937) 778-9114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-07-0691G | NULL | Yes |
| 207W00000X | Ophthalmology Physician | 35-07-0691G | — | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 04/29/2008