Organization
GOODMAN DERMATOLOGY AND MOHS SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BOGDAN (BILLING SPECIALIST)
(484) 359-8909
Entity
Organization
Contact information
Practice address
13830 W CAMINO DEL SOL STE 240, SUN CITY WEST, AZ 85375-4746
(714) 955-1214
Mailing address
13830 W CAMINO DEL SOL STE 240, SUN CITY WEST, AZ 85375-4746
(714) 955-1214
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
08/15/2023
Last updated
02/11/2025
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