James S Gough Mdpc
NPI #1922232529 in Paradise Valley, Arizona
Provider Information
- NPI Number
- 1922232529
- Entity Type
- Organization
- Organization Name
- James S Gough Mdpc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- May 11, 2009
- Last Updated
- Dec 16, 2010
Practice Location
- Address
- 7801 N INVERGORDON PL
- City
- Paradise Valley
- State
- Arizona
- ZIP Code
- 85253-3121
- Phone
- (480) 614-0333
Authorized Official
- Name
- DR. JAMES S GOUGH
- Title
- PRESIDENT
- Phone
- (480) 614-0333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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