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Individual

DAVID EMERSON GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
916 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6926
(575) 434-0180
(575) 434-0181
Mailing address
916 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6926
(575) 434-0180
(575) 434-0181

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
023364
LA
207RC0000X
Cardiovascular Disease Physician
Primary
MD2014-0139
NM
207RC0000X
Cardiovascular Disease Physician
MD28456
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
348261YKR1
MEDICARE PTAN
NM
05
78852366
NM
Enumeration date
06/07/2007
Last updated
10/31/2014
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