Individual
STEVEN GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4640 JEFFERSON LN NE, ALBUQUERQUE, NM 87109-2127
(505) 843-6168
(505) 338-3456
Mailing address
6320 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-1710
(505) 843-6168
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
96-257
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66914
—
NM
Enumeration date
12/06/2006
Last updated
01/07/2026
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