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Individual

DR. RICHARD RAYMOND GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 927-1800
(253) 952-3025
Mailing address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 927-1800
(253) 952-3025

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7155
MT
208600000X
Surgery Physician
Primary
MD00049150
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0103012
MT
01
0228752
STATE L&I
WA
01
0228753
STATE L&I
WA
01
0229088
STATE L&I
WA
01
0265481
STATE L&I
WA
Enumeration date
03/01/2006
Last updated
04/28/2011
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