Individual
DR. AARON P GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 MONTVALE DR STE A, SPRINGFIELD, IL 62704-6924
(217) 726-8096
Mailing address
3050 MONTVALE DR STE A, SPRINGFIELD, IL 62704-6924
(217) 726-8096
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036146138
IL
2085R0202X
Diagnostic Radiology Physician
2017011826
MO
2085R0204X
Vascular & Interventional Radiology Physician
78945
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821350455
—
MO
05
—
ENROLLED
—
IL
Enumeration date
06/11/2012
Last updated
02/19/2025
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