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Individual

DR. CHARLES FROST GOULD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7702 E PARHAM RD, MOB III SUITE 102, RICHMOND, VA 23294-4371
(804) 346-1612
(804) 346-1536
Mailing address
7702 E PARHAM RD, MOB III SUITE 102, RICHMOND, VA 23294-4371
(804) 346-1612
(804) 346-1536

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101046045
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7312865
VA
Enumeration date
07/03/2006
Last updated
11/25/2009
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