Individual
JAY S GOSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4441 E MCDOWELL RD, SUITE 101, PHOENIX, AZ 85008-4503
(602) 273-6770
(602) 889-0489
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4377
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX71450
—
CA
Enumeration date
08/26/2005
Last updated
12/06/2007
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