Individual
COLIN P GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 512-3000
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 512-3000
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
43490
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1076201
—
LA
05
—
533581
—
AZ
Enumeration date
07/30/2007
Last updated
11/16/2010
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