Organization
JIM J. GOULD, MD PC
Active
Other names
Mountain West Pediatrics and Bedtime Kids Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM J GOULD M.D. (OWNER)
(435) 843-8380
Entity
Organization
Contact information
Practice address
2356 N 400 E, SUITE 202, TOOELE, UT 84074-3409
(435) 843-8380
(435) 843-8382
Mailing address
2356 N 400 E, SUITE 202, TOOELE, UT 84074-3409
(435) 843-8380
(435) 843-8382
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
49470565-8905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533965715001
—
UT
Enumeration date
11/23/2011
Last updated
11/23/2011
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