Search › Missouri › 207RC0000X

Clive Goulbourne, MD

NPI 1083024970 · on the registry since 2014

Practice

Address
1235 E Cherokee St
Springfield, MO 65804
Phone
(417) 820-3911
Organisation at this address
Labone Llc
Obhg Missouri, Pc
St Johns Clinic Inc
Mercy Clinic Hospitalists
Mercy Hospital Springfield
Inferred from a shared address, not stated in the registry.
Clinicians at this address
530

Additional practice sites

  • 450 Clarkson Ave, Brooklyn, NY

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207RC0000X
390200000X
Licence states on file
GA, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri