# MARK ADAM GOLDMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972942761
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 125.063174 | IL | — |
| 207L00000X | Anesthesiology Physician | MD198399 | OR | Yes |
| 207L00000X | Anesthesiology Physician | MD60760983 | WA | — |

## Other

- **Enumeration date:** 06/14/2013
- **Last updated:** 06/02/2020