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Individual

DR. RANDOLPH GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
880 KEMPSVILLE RD, STE. 1000, NORFOLK, VA 23502-3931
(757) 261-5000
(757) 962-5610
Mailing address
880 KEMPSVILLE RD, STE. 1000, NORFOLK, VA 23502-3931
(757) 261-5000
(757) 962-5610

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101035211
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007307781
VA
Enumeration date
06/15/2005
Last updated
11/18/2010
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