Individual
DR. CRAIG C GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1445 W SOUTHERN AVE STE 1080, MESA, AZ 85202-4867
(520) 256-8141
Mailing address
1445 W SOUTHERN AVE STE 1080, MESA, AZ 85202-4867
(520) 256-8141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009371
IL
152W00000X
Optometrist
Primary
1425
AZ
152W00000X
Optometrist
2560
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253541
—
AZ
Enumeration date
06/13/2006
Last updated
02/04/2012
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