Individual
NOEL D GOLDTHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 HICKEY BLVD STE 310, DALY CITY, CA 94015-2630
(650) 985-7500
(650) 731-4434
Mailing address
1850 SULLIVAN AVE, SUITE 200, DALY CITY, CA 94015-2221
(650) 985-7500
(650) 985-7511
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G45635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0041210
—
CA
Enumeration date
02/01/2006
Last updated
04/01/2019
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