NPI 1013008150

Paul Raymond Gooris, PAC

Practitioner Physician Assistant Jemez Pueblo, NM

Practice location

Address: 110 Sheep Springs Way, Jemez Pueblo, NM 87114
Phone: (505) 834-7413
Fax: (505) 834-7517
Mailing address: 10001 Coors Byp NW APT #1118, Albuquerque, NM 87114-4024

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 84-PA005 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1013008150
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.