Organization
LEADING HEALTHCARE CLINIC OF GOODYEAR LLC
Active
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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