Inice D Gough, D.C.

NPI #1750575049 in Sisters, Oregon

Provider Information

NPI Number: 1750575049
Entity Type: Individual
Name: Inice D Gough, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 30, 2007
Last Updated: Mar 17, 2008

Practice Location

Address: 270 S SPRUCE
City: Sisters
State: Oregon
ZIP Code: 97759
Phone: (541) 549-3583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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