Individual
DR. TINA L GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2810 W CHARLESTON BLVD, SUITE 78, LAS VEGAS, NV 89102-1921
(702) 968-5084
Mailing address
2000 GRAVEL HILL ST, UNIT 203, LAS VEGAS, NV 89117-6970
(702) 538-8076
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL1778
NV
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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