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Individual

MR. GOULD DWIGHT HAYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
940 SYLVA LN, STE.G, SONORA, CA 95370-5969
(209) 532-2020
(209) 532-1687
Mailing address
940 SYLVA LN, STE.G, SONORA, CA 95370-5969
(209) 532-2020
(209) 532-1687

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C20960
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C209600
CA
01
00C209601
SECOND MEDI-CAL PIN
CA
01
110900
EYEMED VISION PLAN
CA
01
1299310001
DMERC NORIDIAN
CA
Enumeration date
02/23/2007
Last updated
04/12/2026
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