Individual
DR. PATRICK GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5045 E ONEIDA ST, PHOENIX, AZ 85044-3325
(480) 323-9716
Mailing address
PO BOX 10944, TEMPE, AZ 85284-0016
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R70199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R70199
ARIZONA STATE MEDICAL BOARD
AZ
Enumeration date
09/30/2009
Last updated
06/28/2011
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