Individual
MR. MICHAEL EUGENE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4939 W RAY RD, #4-508, CHANDLER, AZ 85226-2065
(480) 225-2117
Mailing address
4939 W RAY RD, #4-508, CHANDLER, AZ 85226-2065
(480) 225-2117
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1022
AZ
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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