Organization
MERCY CENTRE FOR FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED LEE GOLDBLATT DO (OWNER)
(602) 418-5289
Entity
Organization
Contact information
Practice address
10565 N TATUM BLVD, SUITE D-137, PARADISE VALLEY, AZ 85253-1095
(602) 418-5289
Mailing address
PO BOX 090110, MILWAUKEE, WI 53209-0110
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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