Individual
MICHAEL ALLEN GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N WILMOT RD, TUCSON, AZ 85712-4498
(520) 324-4220
(520) 324-4221
Mailing address
5301 E GRANT RD, TUCSON, AZ 85712-2874
(520) 324-4780
(520) 324-2051
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
22434
WV
208600000X
Surgery Physician
20030588
NM
2086S0129X
Vascular Surgery Physician
15311
ND
2086S0129X
Vascular Surgery Physician
22434
WV
2086S0129X
Vascular Surgery Physician
Primary
43665
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001881734
BCBS
WV
05
—
3810006149
—
WV
05
—
558551
—
AZ
Enumeration date
10/31/2005
Last updated
04/29/2025
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