Individual
MARK CHARLES GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4790 E CAMP LOWELL DR, TUCSON, AZ 85712-1275
(520) 319-5922
(520) 319-6128
Mailing address
4790 E CAMP LOWELL DR, TUCSON, AZ 85712-1275
(520) 319-5922
(520) 319-6128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18426
AZ
207RI0011X
Interventional Cardiology Physician
18426
AZ
2085R0204X
Vascular & Interventional Radiology Physician
18426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100462
—
AZ
Enumeration date
07/18/2006
Last updated
01/14/2011
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