Individual
DR. SHOLOM GOOTZEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17233 N HOLMES BLVD STE 1640, 13761 W. BELL ROAD, SUITE 203, SURPRISE, AZ 85374, PHOENIX, AZ 85053-2020
(602) 467-8682
Mailing address
13757 W BELL RD, STE 101, SURPRISE, AZ 85374-2452
(623) 214-7600
(623) 214-7600
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
005463
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
005463
AZ
Other
Enumeration date
01/19/2007
Last updated
05/11/2017
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