Individual
ALLAN L GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7304 E DEER VALLEY RD, SUITE 105, SCOTTSDALE, AZ 85255-7450
(480) 264-2400
(480) 264-2410
Mailing address
PO BOX 7368, ORANGE, CA 92863-7368
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036057113
IL
2085R0202X
Diagnostic Radiology Physician
Primary
35626
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057113
—
IL
05
—
415248
—
AZ
01
—
4923631
BCBS ID
IL
Enumeration date
11/30/2006
Last updated
04/09/2010
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