Individual
DR. JAMES DEAN GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1390 HIGHWAY 61, SUITE 3100, FESTUS, MO 63028-4137
(636) 931-7380
(636) 937-5546
Mailing address
1390 HIGHWAY 61, SUITE 3100, FESTUS, MO 63028-4137
(636) 931-7380
(636) 937-5546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103466
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G95138
UPIN
—
Enumeration date
08/09/2005
Last updated
10/02/2007
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