Provider Demographics
NPI:1861072548
Name:GOULD, NATALIE LEE (DO)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LEE
Last Name:GOULD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:801 FLORIDA RD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4775
Mailing Address - Country:US
Mailing Address - Phone:970-782-7540
Mailing Address - Fax:970-632-6189
Practice Address - Street 1:801 FLORIDA RD UNIT 11
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4775
Practice Address - Country:US
Practice Address - Phone:970-782-7540
Practice Address - Fax:970-632-6189
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0069465202D00000X, 204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM