Organization
ESTRELLA FAMILY MEDICAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD GOODMAN M.H.A. (CHIEF EXECUTIVE OFFICER)
(623) 298-4642
Entity
Organization
Contact information
Practice address
750 N. ESTRELLA PARKWAY, SUITE 20, GOODYEAR, AZ 85338
(623) 298-4642
(623) 925-9193
Mailing address
750 N ESTRELLA PKWY, SUITE 20, GOODYEAR, AZ 85338-9272
(623) 298-4642
(623) 925-9193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
02/08/2012
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