Individual
BONNIE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3501 W OSBORN RD, PHOENIX, AZ 85019-4037
(602) 272-7676
Mailing address
1439 E DESERT STARLING LN, ORO VALLEY, AZ 85737-9290
(602) 272-7676
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1920
AZ
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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