Individual
DR. MARTIN JOHN GOULOOZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1850 MCCULLOCH BLVD N STE C5, LAKE HAVASU CITY, AZ 86403-5798
(928) 855-1220
(928) 855-1221
Mailing address
13925 W MEEKER BLVD STE 7, SUN CITY, AZ 85375-4431
(602) 618-0444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3688
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ152098
MEDICARE
AZ
Enumeration date
03/05/2007
Last updated
06/30/2022
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