| James S Gough Mdpc | |
|
7801 N Invergordon Pl Paradise Valley AZ 85253-3121 | |
| (480) 614-0333 | |
| (480) 614-0222 |
| Full Name | James S Gough Mdpc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7801 N Invergordon Pl, Paradise Valley, Arizona |
| Authorized Official Name and Position | James S Gough (PRESIDENT) |
| Authorized Official Contact | 4806140333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James S Gough Mdpc 7801 N Invergordon Pl Paradise Valley AZ 85253-3121 Ph: (480) 614-0333 | James S Gough Mdpc 7801 N Invergordon Pl Paradise Valley AZ 85253-3121 Ph: (480) 614-0333 |
| NPI Number | 1922232529 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922232529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 7317 (Arizona) | Primary |
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