Brandon Edwin Gough M.D.

NPI 1053537779 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1053537779
Gender Male
Enumeration Date 04/18/2007
Last Updated 11/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
2122 E. HIGHLAND AVE
STE 300
PHOENIX AZ, 85016, US
Phone (602) 553-3113
Fax (602) 955-0221
Business Location
2122 E. HIGHLAND AVE
STE 300
PHOENIX AZ, 85016, US
Phone (602) 553-3113
Fax (602) 955-0221
Toxanomy
Taxonomy Code 207X00000X
License State Kansas
License Number 6620
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According to our database, Brandon Edwin Gough M.D. NPI is 1053537779, taxonomy code is 207X00000X and license number is 6620, license state is located at Kansas. Brandon Edwin Gough M.D. physically located at 2122 E. Highland Ave, Phoenix AZ, 85016. NPI Number Brandon Edwin Gough M.D. has the Individual type.

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1053537779 NPI number is provided on an as is basis without warranty of any kind. 1053537779 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Edwin Gough M.D. are for informational purposes only.