Individual
MARK HIRAM GOTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3811 E BELL RD STE 107, PHOENIX, AZ 85032-2158
(602) 340-1689
(602) 340-1853
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12668
AZ
207RP1001X
Pulmonary Disease Physician
Primary
12668
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
12668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235607
—
AZ
Enumeration date
05/17/2006
Last updated
10/07/2025
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