Organization
PROVIDER RESOURCES GROUP, INC.
Active
Other names
ArcWell Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDWARD GOODMAN M.D. (PRESIDENT)
(415) 572-4427
Entity
Organization
Contact information
Practice address
272 UPLAND RD, REDWOOD CITY, CA 94062-2757
(650) 208-9140
Mailing address
272 UPLAND RD, REDWOOD CITY, CA 94062-2757
(650) 208-9140
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G80213
CA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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