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Individual

MR. JAMES M GOLDHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1400 S DOBSON RD STE A200, MESA, AZ 85202-4707
(480) 969-4138
Mailing address
2945 S DOBSON RD, MESA, AZ 85202-7941
(480) 969-4138
(480) 969-0630

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102912-875
WI
363A00000X
Physician Assistant
8545-23
WI
363AS0400X
Surgical Physician Assistant
Primary
7486
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790347292
WI
Enumeration date
07/03/2019
Last updated
01/21/2026
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