Individual provider · Type 1 NPI
Douglas A. North, PA-C
Medical Physician Assistant · Penasco, NM
NPI number
1720071186
Active
Practice location
15136 St. Rd. 75
Penasco, NM 87553-0238
Fax (575) 587-1944
Mailing address
PO Box 158, 538 N. Paseo De Onate
Espanola, NM 87532-0158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2001-PA27 (NM) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Penasco
About NPI 1720071186
Douglas A. North, PA-C's National Provider Identifier is 1720071186, issued on Aug 31, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Penasco, NM. The record was last updated on Jul 15, 2013.