| David N Gould, PA-C | |
|
15136 St. Rd. 75, El Centro Family Health Penasco Medical Clinic, Penasco, NM 87553 | |
| (575) 587-2205 | |
| (575) 587-1944 |
| Full Name | David N Gould |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 15136 St. Rd. 75, Penasco, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366783771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2013-0011 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital A Div Of Taos Health Systems | Taos, NM | Hospital |
| Presbyterian Espanola Hospital | Espanola, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| El Centro Family Health | 9830080688 | 40 |
| Mailing Address | Practice Location Address |
|---|---|
| David N Gould, PA-C Po Box 158, El Centro Family Health, Espanola, NM 87532-0158 Ph: (505) 753-7218 | David N Gould, PA-C 15136 St. Rd. 75, El Centro Family Health Penasco Medical Clinic, Penasco, NM 87553 Ph: (575) 587-2205 |
Mr. Douglas A. North, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15136 St. Rd. 75, Penasco, NM 87553 Phone: 575-587-2205 Fax: 575-587-1944 |