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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.

Location: 2356 N 400 E, Tooele, UT, 84074-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Tooele
State
Utah
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
Tooele
State
Utah
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
261Q00000X
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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