# PROVIDER RESOURCES GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ArcWell Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396086526
- **Authorized official:** DR. DAVID EDWARD GOODMAN M.D. (PRESIDENT)
- **Authorized official phone:** (415) 572-4427

## Contact information

- **Practice address:** 272 UPLAND RD, REDWOOD CITY, CA 94062-2757
- **Practice address phone:** (650) 208-9140
- **Mailing address:** 272 UPLAND RD, REDWOOD CITY, CA 94062-2757
- **Mailing address phone:** (650) 208-9140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G80213 | CA | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013