Individual
DR. TARAN GOODBALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14100 N 83RD AVE, PEORIA, AZ 85381-5658
(623) 230-3194
Mailing address
14100 N 83RD AVE, PEORIA, AZ 85381-5658
(623) 230-3194
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
S024801
AZ
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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