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Dr. Clive Anthony Goulbourne, MD
Cardiovascular Disease Physician in Springfield, Missouri
NPI 1083024970

Clive Anthony Goulbourne is a Cardiovascular Disease Physician based in Springfield, MO and is specialized in Cardiovascular Disease. Clive Anthony Goulbourne practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Clive Anthony Goulbourne is 1083024970 and holds a License No. 87980 (Missouri).

The current practice location address for Clive Anthony Goulbourne is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-3911.

Location: 1235 E Cherokee St, Springfield, MO, 65804-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083024970
Provider Name
Clive Anthony Goulbourne
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1235 E Cherokee St, Springfield, MO, 65804-2203
Phone Number
417-820-3911
Fax Number
Provider Enumeration Date
05/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-3911
Fax Number
person
Provider Business Mailing Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-3911
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
87980 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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