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Organization
MARSHA E GOODHEAD MD PC
Active
Organization
MARSHA E GOODHEAD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLENE L SCHENCKE (OFFICE MANAGER)
(702) 731-4215
Entity
Organization
Contact information
Practice address
3201 S MARYLAND PKWY, SUITE 205, LAS VEGAS, NV 89109-2441
(702) 731-4215
(702) 369-9843
Mailing address
3201 S MARYLAND PKWY, SUITE 205, LAS VEGAS, NV 89109-2441
(702) 731-4215
(702) 369-9843
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4023
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437119435
INDIVIDUAL NPI NUMBER
NV
05
—
1437119435
—
NV
Enumeration date
12/11/2008
Last updated
12/11/2008
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