institution
Jim J. Gould, Md Pc
Clinic/Center in Tooele, Utah
NPI 1366719015

Jim J. Gould, Md Pc is a Clinic/Center based in Tooele, UT. Jim J. Gould, Md Pc practices in Tooele, UT. The NPI Number for Jim J. Gould, Md Pc is 1366719015 and holds a License No. 49470565-8905 (Utah).

The current practice location address for Jim J. Gould, Md Pc is 2356 N 400 E, Tooele, UT and can be reached out via phone at 435-843-8380 and via fax at 435-843-8382. You can also correspond with Jim J. Gould, Md Pc through the mailing address at 2356 N 400 E, TOOELE, UT - 84074-3409 (mailing address contact number: 435-843-8380).

Location: 2356 N 400 E, Tooele, UT, 84074-3409
institution
Provider Profile Details
NPI Number
1366719015
Provider Name
Jim J. Gould, Md Pc
Credential
Provider Entity Type
Organization
Address
2356 N 400 E, Tooele, UT, 84074-3409
Phone Number
435-843-8380
Fax Number
435-843-8382
Provider Enumeration Date
11/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
533965715001 05 UT
institution
Provider Business Practice Location Address Details
Address
2356 N 400 E
City
State
Zip
84074-3409
Phone Number
435-843-8380
Fax Number
435-843-8382
person
Provider Business Mailing Address Details
Address
2356 N 400 E
City
State
Zip
84074-3409
Phone Number
435-843-8380
Fax Number
435-843-8382
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
49470565-8905 (Utah)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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