MR. Paul Raymond Gooris, PA-C

NPI #1013008150 in Jemez Pueblo, New Mexico

Provider Information

NPI Number: 1013008150
Entity Type: Individual
Name: MR. Paul Raymond Gooris, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 110 SHEEP SPRINGS WAY
City: Jemez Pueblo
State: New Mexico
ZIP Code: 87114
Phone: (505) 834-7413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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