# MARSHA E GOODHEAD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003051657
- **Authorized official:** SHARLENE L SCHENCKE (OFFICE MANAGER)
- **Authorized official phone:** (702) 731-4215

## Contact information

- **Practice address:** 3201 S MARYLAND PKWY, SUITE 205, LAS VEGAS, NV 89109-2441
- **Practice address phone:** (702) 731-4215
- **Practice address fax:** (702) 369-9843
- **Mailing address:** 3201 S MARYLAND PKWY, SUITE 205, LAS VEGAS, NV 89109-2441
- **Mailing address phone:** (702) 731-4215
- **Mailing address fax:** (702) 369-9843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4023 | NV | Yes |

## Other

- **Enumeration date:** 12/11/2008
- **Last updated:** 12/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1437119435 | INDIVIDUAL NPI NUMBER | NV |
| 05 | — | 1437119435 | — | NV |