Individual
JOHN E GOODPASTURE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
(480) 507-2971
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47111
AZ
207L00000X
Anesthesiology Physician
E2578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157212501
—
TX
05
—
829085
—
AZ
Enumeration date
10/31/2005
Last updated
10/28/2013
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