Richard L Gough, M.D.

NPI #1346223955 in Walkersville, Maryland

Provider Information

NPI Number: 1346223955
Entity Type: Individual
Name: Richard L Gough, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Nov 29, 2005
Last Updated: Aug 2, 2016

Practice Location

Address: 19 W FREDERICK ST
City: Walkersville
State: Maryland
ZIP Code: 21793-8230
Phone: (301) 845-6336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X

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