Individual
BRODIE GERRARD-GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 S CASCADE AVE, 140, COLORADO SPRINGS, CO 80903-1624
(719) 538-2936
Mailing address
1633 MEDICAL CENTER PT, 233, COLORADO SPRINGS, CO 80907-8732
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23946
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239466
—
CO
Enumeration date
02/23/2006
Last updated
12/20/2007
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