DAVID THOMAS GOUGH

BOISE, ID
NPI1205873247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  O-54)
Enumeration Date2006-05-31
Last Update Date2011-01-25
Business Address
-- DAVID THOMAS GOUGH D.O.
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-322-1730
Mailing Address
-- DAVID THOMAS GOUGH D.O.
2963 E COPPER POINT DR
MERIDIAN, ID 83642-9055
Phone number: 208-322-1730