Individual
GLENN SCOT GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2525 S. RURAL RD S, TEMPE, AZ 85282
(480) 968-8212
Mailing address
2525 S. RURAL RD S, TEMPE, AZ 85282
(480) 968-8212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5172
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ 0238520
BCBS
—
Enumeration date
08/14/2006
Last updated
07/08/2007
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