Individual
DR. GARY SEAN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6000 QUIET GLOW AVE, LAS VEGAS, NV 89139-6422
(702) 263-8319
Mailing address
6000 QUIET GLOW AVE, LAS VEGAS, NV 89139-6422
(702) 263-8319
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
16949
NV
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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