Madeline Gould
Physician Assistant, Medical in San Bernardino, CA. Individual provider (NPI-1).
NPI number1457786121
StatusActive
Last updated in NPPESSep 12, 2013
Details
- NPI
- 1457786121
- Entity type
- Individual (NPI-1)
- Name
- Madeline Gould
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2013
- Last updated
- Sep 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA23151 | CA | Yes |
Practice location
565 N. Mount Vernon AveSan Bernardino, CA 92411
Phone 909-884-9091 · Fax 909-383-7013
Mailing address
565 N Mount Vernon AveSan Bernardino, CA 92411-2661
Phone 909-884-9091 · Fax 909-383-7013
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All 26 Medical Physician Assistant providers in San Bernardino · All 7,202 providers in San Bernardino
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