Organization
JOHN R GOULDIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R GOULDIN DPM (DPM)
(712) 732-2876
Entity
Organization
Contact information
Practice address
904 FLINDT DR, STORM LAKE, IA 50588-3204
(712) 732-2876
(712) 732-2876
Mailing address
904 FLINDT DR, STORM LAKE, IA 50588-3204
(712) 732-2876
(712) 732-2876
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162107
—
IA
Enumeration date
04/01/2008
Last updated
06/13/2008
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