Individual provider · Type 1 NPI

Madeline Gould

Medical Physician Assistant · San Bernardino, CA

NPI number 1457786121 Active

Practice location

565 N. Mount Vernon Ave
San Bernardino, CA 92411

Call (909) 884-9091 Map

Fax (909) 383-7013

Mailing address

565 N Mount Vernon Ave
San Bernardino, CA 92411-2661

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA23151 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1457786121

Madeline Gould's National Provider Identifier is 1457786121, issued on Sep 12, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 12, 2013.