NICHOLAS GRANT GOODMAN

PHOENIX, AZ
NPI1538450853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  4697)
Enumeration Date2011-04-20
Last Update Date2013-03-11
Business Address
Mr. NICHOLAS GRANT GOODMAN P.A.
4434 N 12TH ST
PHOENIX, AZ 85014-4507
Phone number: 602-242-8857
Mailing Address
Mr. NICHOLAS GRANT GOODMAN P.A.
20717 N 59TH DR
GLENDALE, AZ 85308-6761
Phone number: 623-337-2689
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