Individual
GERALD GOLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6702 N 19TH AVE, PHOENIX, AZ 85015-1101
(602) 242-5121
(602) 242-6945
Mailing address
4434 N 12TH STREET, PHOENIX, AZ 85014-1101
(602) 242-5121
(602) 242-6945
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5814
AZ
Other
Enumeration date
09/27/2006
Last updated
10/21/2011
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