Individual
BRITTON GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2345 E SOUTHERN AVE STE 101, MESA, AZ 85204-5419
(804) 893-2345
(480) 926-0495
Mailing address
2345 E SOUTHERN AVE STE 101, MESA, AZ 85204-5419
(480) 893-2345
(480) 926-0495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008113
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005823
—
AZ
Enumeration date
04/18/2017
Last updated
05/27/2020
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