Individual
DAVID CLEMENT GOHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
370 LONGMEADOW ROAD, THE SEA RANCH, CA 95497-0412
(707) 785-9170
Mailing address
POB 412, THE SEA RANCH, CA 95497-0412
(707) 785-9170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G027359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G027359
STATE OF CALIFORNIA
CA
Enumeration date
01/07/2013
Last updated
01/07/2013
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