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HomeProvidersMr. DOUGLAS NORTH PA-C

Physician Assistant, Medical

Mr. DOUGLAS NORTH PA-C

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1720071186 · enumerated 2005-08-31 · record updated 2013-07-15. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Practice location 15136 ST. RD. 75, PENASCO, NM, 87553-0238 (575) 587-2205 Fax (575) 587-1944 Google Maps Apple Maps OpenStreetMap
Mailing address PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM, 87532-0158 (505) 753-7218 Fax (505) 753-5815 Google Maps Apple Maps OpenStreetMap

Specialties

Physician Assistant, Medical 363AM0700X · Primary · License 2001-PA27 NM

In this directory

NM Taos County Penasco Physician Assistant, Medical

Locations and evidence

Practice location PENASCO, NM, 875530238
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.