Individual provider · Type 1 NPI

Gary Andrew Gould, PA

Medical Physician Assistant · Fairhope, AL

NPI number 1770090607 Active

Practice location

10040 County Road 48
Fairhope, AL 36532-4520

Mailing address

28490 2nd St Ste B
Daphne, AL 36526-7150

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant 363AM0700XPA9112400 (FL)
Medical Physician Assistant Primary 363AM0700XPA-1317 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1770090607

Gary Andrew Gould, PA's National Provider Identifier is 1770090607, issued on Dec 31, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairhope, AL. The record was last updated on Dec 11, 2020.