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Organization

TODD GOULD MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD J. GOULD MD (PRESIDENT/OWNER)
(937) 335-9020
Entity
Organization

Contact information

Practice address
180 S STANFIELD RD, TROY, OH 45373-2331
(937) 335-9020
(937) 335-6684
Mailing address
180 S STANFIELD RD, TROY, OH 45373-2331
(937) 335-9020
(937) 335-6684

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-07-0691G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800753
UNITED HEALTH CARE
01
150957CR
PREFERRED CARE
01
180028986
TROY RRMED
OH
05
2014680
OH
01
491600699-00
WORKERS COMP.
01
491600699004
MEDICAL MUTUAL, TROY
OH
Enumeration date
07/20/2005
Last updated
04/28/2008
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