Stormie Rae Gough
DO | Pediatrics | Female
Stormie Rae Gough, DO is a Allentown, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics. Stormie Rae Gough is also known as
Stormie Rae Wagner.
Current practice location of Stormie Rae Gough is
1200 S Cedar Crest Blvd Fl 6, Allentown, Pennsylvania - 18103-6202. She can be contacted on phone at
610-402-7712.
Stormie Rae Gough is a sole proprietor of her business.
NPI number (Unique professional ID) for Stormie Rae Gough is
1164045209 which was assigned by NPPES on 23 May, 2020 and it was last updated on 23 May, 2020.
Stormie Rae Gough license number is
OT020219 for Pediatrics (208000000X) in Pennsylvania.
Stormie Rae Gough is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stormie Rae Gough basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stormie Rae Gough |
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| Other Name : | Stormie Rae Wagner |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Stormie Rae Gough address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1200 S Cedar Crest Blvd Fl 6
Allentown, PA, 18103-6202
United States |
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| Phone Number : | 610-402-7712 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164045209 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 May, 2020 |
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| Last Updated On : | 23 May, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stormie Rae Gough are as mentioned. Primary taxonomy code for Stormie Rae Gough, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | OT020219 | PA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1200 S Cedar Crest Blvd
Allentown, PA, 18103-6202
United States |
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Business Location:
Patients can refer following map for directions to
Stormie Rae Gough practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.