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Individual

DR. ROBERT E GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 N 16TH ST, SUITE G-10, NEW CASTLE, IN 47362-4319
(765) 521-0901
(765) 521-9891
Mailing address
PO BOX 426, NEW CASTLE, IN 47362-0426
(765) 521-0901
(765) 521-9891

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01027404A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000292075
ANTHEM
IN
05
100134690A
IN
Enumeration date
07/03/2006
Last updated
04/26/2011
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