Provider Demographics
NPI:1215255997
Name:GOUGH, JAMES S (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:GOUGH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7801 N INVERGORDON PL
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3121
Mailing Address - Country:US
Mailing Address - Phone:480-614-0333
Mailing Address - Fax:480-614-0222
Practice Address - Street 1:7801 N INVERGORDON PL
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-3121
Practice Address - Country:US
Practice Address - Phone:480-614-0333
Practice Address - Fax:480-614-0222
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-12-16
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Provider Licenses
StateLicense IDTaxonomies
AZ73172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry