Organization
LEADING HEALTHCARE CLINIC OF GOODYEAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD NASSER (CEO)
(313) 485-5680
Entity
Organization
Contact information
Practice address
13555 W MCDOWELL RD STE 205, GOODYEAR, AZ 85395-2626
(623) 295-1190
(602) 429-8595
Mailing address
13555 W MCDOWELL RD STE 205, GOODYEAR, AZ 85395-2626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005817
—
AZ
Enumeration date
10/15/2019
Last updated
03/28/2022
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