Individual
DR. MATTHEW GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 E BASELINE RD, PHOENIX, AZ 85042-6801
(602) 276-6001
Mailing address
1615 E BASELINE RD, PHOENIX, AZ 85042-6801
(602) 276-6001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020170
AZ
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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