Individual
DR. DAVID P GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 E 30TH ST BLDG A, FARMINGTON, NM 87401-8991
(505) 326-6400
(505) 326-4606
Mailing address
1515 E 20TH ST, SUITE A, FARMINGTON, NM 87401-9039
(505) 326-6400
(505) 326-4606
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92-58
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050038343
RR MEDICARE
NM
01
—
10001998
LOVELACE HP
NM
01
—
201003657
PRESBYTERIAN HP
NM
05
—
258253
—
AZ
05
—
91056259
—
CO
05
—
A2053
—
NM
01
—
NM009F03
BCBS
NM
05
—
T0786
—
UT
Enumeration date
01/23/2006
Last updated
09/10/2013
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