Individual
DR. GERALD BRUCE GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 N WYATT DR, SUITE 71, TUCSON, AZ 85712-2151
(520) 318-1860
(520) 318-1859
Mailing address
2320 N WYATT DR, SUITE 71, TUCSON, AZ 85712-2151
(520) 318-1860
(520) 318-1859
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
7108
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203175
—
AZ
Enumeration date
09/11/2006
Last updated
11/08/2007
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