Individual
EDWIN G. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 E MCDOWELL RD, DEPARTMENT OF MEDICAL IMAGING, GOOD SAMARITAN HOSPITAL, PHOENIX, AZ 85006-2612
(602) 239-4850
Mailing address
4043 E SOLANO DR, PHOENIX, AZ 85018-1144
(602) 840-0882
(602) 840-0778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240375
—
AZ
Enumeration date
10/14/2005
Last updated
05/14/2008
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