Individual
DR. MARC VINCENT GOLDHAGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2200 BERGQUIST DRIVE, STE 1, ATTN: CREDENTIALS (CMC), LACKLAND AFB, TX 78236-5300
(210) 536-6946
Mailing address
1431 WHISPER MTN, SAN ANTONIO, TX 78258-3205
(210) 455-5534
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
G77740
CA
2083X0100X
Occupational Medicine Physician
G77740
CA
Other
Enumeration date
01/06/2006
Last updated
09/11/2025
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