DAVID N GOULD

EL CENTRO FAMILY HEALTH

Dr DAVID N GOULD is a male medical professional, specializing in Physician Assistant. He graduated in 2012.

Contact

EL CENTRO FAMILY HEALTH

15136 STATE HWY 75
PENASCO CLINIC
PENASCO
NM
875530238

Tel: 5755872205

DAVID N GOULD Information

Npi 1366783771
Pac Id 2860632049
Professional Enrollment Id I20130711000542
Last Name GOULD
First Name DAVID
Middle Name N
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EL CENTRO FAMILY HEALTH
Group Practice Pac Id 9830080688
Number Of Group Practice Members 28
Line 1 Street Address 15136 STATE HWY 75
Line 2 Street Address PENASCO CLINIC
Marker Of Address Line 2 Suppression
City PENASCO
State NM
Zip Code 875530238
Phone Number 5755872205
Hospital Affiliation Ccn 1 321310
Hospital Affiliation Lbn 1 HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS
Hospital Affiliation Ccn 2 320011
Hospital Affiliation Lbn 2 PRESBYTERIAN ESPANOLA HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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