Individual
KAORU RUTH GOSHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-6144
(520) 694-4008
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
33173
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115163
—
AZ
01
—
P00435400
RAILROAD MEDICARE
AZ
Enumeration date
05/16/2006
Last updated
01/24/2008
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