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Individual
MR. DAVID R GOEN
Active
Individual
MR. DAVID R GOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003627
—
AZ
01
—
531582YMP3
MEDICAID
AZ
Enumeration date
07/06/2016
Last updated
07/14/2026
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