Individual
DAVID N GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15136 ST. RD. 75, EL CENTRO FAMILY HEALTH PENASCO MEDICAL CLINIC, PENASCO, NM 87553
(575) 587-2205
(575) 587-1944
Mailing address
PO BOX 158, EL CENTRO FAMILY HEALTH, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2013-0011
NM
Other
Enumeration date
03/11/2013
Last updated
07/16/2013
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