Individual
JOHN E GOULD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 CONROY LN, SUITE 100, ROSEVILLE, CA 95661-4156
(916) 773-5529
(916) 773-0430
Mailing address
1130 CONROY LN, SUITE 100, ROSEVILLE, CA 95661-4156
(916) 773-5529
(916) 773-0430
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G55692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G556920
—
CA
Enumeration date
12/07/2005
Last updated
07/08/2007
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