Fredric Gough MD

NPI 1689897019 - Emergency Medicine - 207PH0002X

NPI Details
NPI 1689897019
Gender Male
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1200 B GALE WILSON BLVD
FAIRFIELD CA, 94533-3552, US
Phone (707) 429-7930
Fax
Business Location
646 BROWN CT
BENICIA CA, 94510-3940, US
Phone (707) 746-7663
Fax
Toxanomy
Taxonomy Code 207PH0002X
License State California
License Number G40525
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According to our database, Fredric Gough MD NPI is 1689897019, taxonomy code is 207PH0002X and license number is G40525, license state is located at California. Fredric Gough MD physically located at 1200 B Gale Wilson Blvd, Fairfield CA, 94533-3552. NPI Number Fredric Gough MD has the Individual type.

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1689897019 NPI number is provided on an as is basis without warranty of any kind. 1689897019 is maintained by the National Plan & Provider Enumeration System. The contents of Fredric Gough MD are for informational purposes only.