Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DALE M GOUGHNOUR, DPM
Active Sole ProprietorDR. DALE M GOUGHNOUR, DPM is a Podiatrist healthcare provider located in PORTAGE, Pennsylvania. NPI 1831267806 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PORTAGE, PA
Registration Details
- NPI Number
- 1831267806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.679849692141 yrs)
- Last Updated
- Jul 8, 2007
- License
-
SC004705L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
220 MAIN ST. STE 100PORTAGE, PA, 159461119Browse PA providers · Browse ZIP 15946
- Phone
- 8147365000
- Fax
- 8147369616
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.