Organization
GOODHEART MEDICAL GROUP
Active
Organization
GOODHEART MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE GOEDHART APRN (OWNER)
(702) 682-8155
Entity
Organization
Contact information
Practice address
1316 E CALVADA BLVD, PAHRUMP, NV 89048-5692
(775) 751-6111
Mailing address
PO BOX 1089, PAHRUMP, NV 89041-1089
(702) 682-8155
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
APRN000597
NV
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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