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Dr. Dale M Goughnour, DPM
Podiatrist in Portage, Pennsylvania
NPI 1831267806

Dale M Goughnour is a Podiatrist based in Portage, PA. Dale M Goughnour practices in Portage, PA and has the professional credentials of DPM. The NPI Number for Dale M Goughnour is 1831267806 and holds a License No. SC004705L (Pennsylvania).

The current practice location address for Dale M Goughnour is 220 Main St. Ste 100, Portage, PA and can be reached out via phone at 814-736-5000 and via fax at 814-736-9616.

Location: 220 Main St. Ste 100, Portage, PA, 15946-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831267806
Provider Name
Dale M Goughnour
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
220 Main St. Ste 100, Portage, PA, 15946-1119
Phone Number
814-736-5000
Fax Number
814-736-9616
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GO1304835 01 PW HIGHMARK
304387 01 PA UPMC
043195 01 PA UMWA
01847551 05 PA
institution
Provider Business Practice Location Address Details
Address
220 Main St. Ste 100
City
Portage
State
Pennsylvania
Zip
15946-1119
Phone Number
814-736-5000
Fax Number
814-736-9616
person
Provider Business Mailing Address Details
Address
220 Main St. Ste 100
City
Portage
State
Pennsylvania
Zip
15946-1119
Phone Number
814-736-5000
Fax Number
814-736-9616
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
SC004705L (Pennsylvania)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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