Individual
DR. GORDON THAMES COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4900 BAYOU BLVD, SUITE 104, PENSACOLA, FL 32503-2525
(850) 477-2330
(850) 484-8733
Mailing address
4900 BAYOU BLVD, SUITE 104, PENSACOLA, FL 32503-2525
(850) 477-2330
(850) 484-8733
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0013562
FL
Other
Enumeration date
12/17/2007
Last updated
05/09/2013
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