Organization
RAINBOW MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD GOODMAN M.H.A. (CHIEF EXECUTIVE OFFICER)
(623) 845-8200
Entity
Organization
Contact information
Practice address
4700 N 51ST AVE STE 1, PHOENIX, AZ 85031-1237
(623) 845-8200
(623) 845-8210
Mailing address
PO BOX 6524, GOODYEAR, AZ 85338-0626
(623) 845-8200
(623) 845-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AZ
Other
Enumeration date
08/20/2006
Last updated
10/03/2007
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