# MOMDOC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MomDoc Mi Doctora, MomDoc Women for Women, MomDoc Women's Health Research, MomDoc Midwives
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184780355
- **Authorized official:** EARL GOODMAN (CEO)
- **Authorized official phone:** (480) 821-3600

## Contact information

- **Practice address:** 2055 W FRYE RD STE 9, CHANDLER, AZ 85224-6277
- **Practice address phone:** (480) 821-3600
- **Mailing address:** PO BOX 6730, CHANDLER, AZ 85246-6730
- **Mailing address phone:** (480) 821-3600
- **Mailing address fax:** (480) 857-2667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | AZ | Yes |
| 207VG0400X | Gynecology Physician | — | AZ | — |
| 207VX0000X | Obstetrics Physician | — | AZ | — |
| 363AM0700X | Medical Physician Assistant | — | AZ | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | AZ | — |
| 367A00000X | Advanced Practice Midwife | — | AZ | — |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/25/2025