Individual
MR. JOHN MICHAEL GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501E SOUTHERN AVE, STE 22, TEMPE, AZ 85282
(480) 838-1111
(480) 838-3476
Mailing address
2501E SOUTHERN AVE, STE 22, TEMPE, AZ 85282
(480) 838-1111
(480) 838-3476
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
31151
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
792673
AHCCCS
AZ
Enumeration date
03/08/2006
Last updated
07/08/2007
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