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Individual

ADAM T. GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT 84112
(801) 581-2121

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
125.074941
IL
208200000X
Plastic Surgery Physician
14231097-1205
UT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
14231097-1205
UT

Other

Enumeration date
03/20/2019
Last updated
12/31/2025
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