| Mr Paul Raymond Gooris, PA-C | |
|
110 Sheep Springs Way, Jemez Pueblo, NM 87114 | |
| (505) 834-7413 | |
| (505) 834-7517 |
| Full Name | Mr Paul Raymond Gooris |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 110 Sheep Springs Way, Jemez Pueblo, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013008150 | NPI | - | NPPES |
| 91314 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 84-PA005 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Raymond Gooris, PA-C 10001 Coors Byp Nw, Apt #1118, Albuquerque, NM 87114-4024 Ph: (505) 834-7413 | Mr Paul Raymond Gooris, PA-C 110 Sheep Springs Way, Jemez Pueblo, NM 87114 Ph: (505) 834-7413 |
Dawn Jonine Dozhier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87120 Phone: 505-834-7413 | |
Mrs. Shari Jean Hiatt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Sheep Springs Rd, Jemez Pueblo, NM 87024 Phone: 575-834-7413 Fax: 575-834-3081 |