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Individual

ADAM C GOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
(575) 388-3373
Mailing address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
(575) 388-3373

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
275
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G0018
NM
Enumeration date
04/14/2006
Last updated
01/10/2013
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