Organization
ARIZONA EM-1 MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD T GODBOLD M.D. (OWNER)
(800) 444-7009
Entity
Organization
Contact information
Practice address
520 ROSE LN, WICKENBURG COMMUNITY HOSPITAL, WICKENBURG, AZ 85390-1447
(928) 684-5421
Mailing address
815 S PALAFOX ST, SUITE 300, PENSACOLA, FL 32502-5960
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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