Organization
KEYSTONE EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GODBOLD, M.D. (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(469) 401-2386
Mailing address
PO BOX 7427, PHILADELPHIA, PA 19101-7427
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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