Individual
DR. VINCENT PAUL GOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3320 N 3RD AVE, PHOENIX, AZ 85013-4304
(480) 588-3165
(480) 588-3169
Mailing address
PO BOX 32990, PHOENIX, AZ 85064-2990
(480) 588-3165
(480) 588-3169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
45895
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45895
LICENSE
AZ
Enumeration date
06/03/2006
Last updated
10/09/2022
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