Organization
MARK D GOLDBERG, MD, PC
Active
Other names
Velda Rose Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D GOLDBERG MD (MEDICAL DIRECTR)
(480) 396-3222
Entity
Organization
Contact information
Practice address
5252 E MAIN ST, MESA, AZ 85205-8022
(480) 396-3222
(480) 396-2298
Mailing address
5252 E MAIN ST, MESA, AZ 85205-8022
(480) 396-3222
(480) 396-2298
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18592
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298704
—
AZ
05
—
348260
—
AZ
05
—
F000274
—
AZ
Enumeration date
08/15/2007
Last updated
09/08/2020
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