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Contact Information

MARK A GOULD, PA
1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM87112-4160
 Phone: 505-503-8806
 Fax: 888-503-8511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARK A GOULD · (Male)

NPI # 1023278108
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/12/2008
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2005-0029
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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