Organization
ARIZONA EM-I MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD T GODBOLD MD (PRESIDENT)
(805) 563-3011
Entity
Organization
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(602) 870-6316
Mailing address
PO BOX 7427, PHILADELPHIA, PA 19101-7427
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/26/2008
Last updated
07/26/2008
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