Organization
WILLIAM M GOUMAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN OLORE GOUMAS (OFFICE MANAGER)
(605) 225-0614
Entity
Organization
Contact information
Practice address
103 15TH AVE NE, ABERDEEN, SD 57401
(605) 225-0614
(605) 226-2692
Mailing address
103 15TH AVE NE, ABERDEEN, SD 57401
(605) 225-0614
(605) 226-2692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4691
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301702
—
SD
Enumeration date
10/02/2006
Last updated
08/22/2020
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