Individual
MARC S GOLDBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 N 7TH ST STE 275, PHOENIX, AZ 85006-2769
(602) 252-7004
(602) 252-6232
Mailing address
1331 N 7TH ST STE 275, PHOENIX, AZ 85006-2769
(602) 252-7004
(602) 252-6232
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
10188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205410
—
AZ
Enumeration date
09/27/2005
Last updated
08/29/2025
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