Individual
MATTHEW MORTENSEN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
13830 W CAMINO DEL SOL STE 240, SUN CITY WEST, AZ 85375-4746
(623) 254-7375
(623) 259-6754
Mailing address
13830 W CAMINO DEL SOL STE 240, SUN CITY WEST, AZ 85375-4746
(623) 254-7375
(623) 259-6754
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20487
CA
207N00000X
Dermatology Physician
Primary
G53769
CA
207ND0101X
MOHS-Micrographic Surgery Physician
20487
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
G53769
CA
Other
Enumeration date
11/23/2005
Last updated
05/15/2026
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