Individual
PAUL GOLD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAPRC I
Contact information
Practice address
1015 ELM ST, SHELBYVILLE, IN 46176-2516
(469) 630-4818
Mailing address
1015 ELM ST, SHELBYVILLE, IN 46176-2516
(469) 630-4818
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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