Individual
MICHAEL GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 N WYATT DR STE 101, TUCSON, AZ 85712-2120
(520) 616-4948
(520) 616-4958
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(520) 795-6183
(520) 795-6361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30642
AZ
207Q00000X
Family Medicine Physician
5203
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425026
—
AZ
01
—
P00435437
RAIL ROAD MEDICARE
AZ
Enumeration date
12/06/2005
Last updated
08/15/2024
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