| John R Gouldin | |
|
904 Flindt Dr, Storm Lake, IA 50588-3204 | |
| (712) 732-2876 | |
| (712) 732-2876 |
| Full Name | John R Gouldin |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 904 Flindt Dr, Storm Lake, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558533323 | NPI | - | NPPES |
| 2162107 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John R Gouldin 904 Flindt Dr, Storm Lake, IA 50588-3204 Ph: (712) 732-2876 | John R Gouldin 904 Flindt Dr, Storm Lake, IA 50588-3204 Ph: (712) 732-2876 |
Randy L Crampton, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 415 W Railroad St, Storm Lake, IA 50588 Phone: 712-732-6396 Fax: 712-732-9534 | |
Robert Ivey, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 Northwestern Dr Pod 4, Storm Lake, IA 50588 Phone: 712-213-8050 Fax: 712-213-8015 |