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Individual

IAN L GOLDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17300 N PERIMETER DR STE 220, SCOTTSDALE, AZ 85255-6703
(480) 661-2661
(623) 900-6791
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21363
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
839847
AZ
Enumeration date
06/07/2006
Last updated
04/06/2026
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