Provider Demographics
NPI:1871897256
Name:GOULD, ERNEST EDWARD JR (RPA)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:EDWARD
Last Name:GOULD
Suffix:JR
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2490 W 26TH AVE STE 220A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5385
Mailing Address - Country:US
Mailing Address - Phone:303-433-9729
Mailing Address - Fax:
Practice Address - Street 1:2490 W 26TH AVE STE 220A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5385
Practice Address - Country:US
Practice Address - Phone:303-433-9729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
08CO1363243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant