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Contact Information

DAVID N GOULD, PA-C
15136 ST. RD. 75
EL CENTRO FAMILY HEALTH PENASCO MEDICAL CLINIC
PEÑASCO, NM87553
 Phone: 575-587-2205
 Fax: 575-587-1944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID N GOULD · (Male)

NPI # 1366783771
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/11/2013
Last updated 07/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2013-0011
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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