IRA LEE GOODMAN

SAN DIEGO, CA
NPI1942321930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
(Licence: CA  G40445)
Additional Taxonomies2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
(Licence: AZ  11747)
Enumeration Date2007-04-03
Last Update Date2015-10-07
Business Address
Dr. IRA LEE GOODMAN MD
4316 CORTE DE LA FONDA
SAN DIEGO, CA 92130-2126
Phone number: 602-741-3502
Mailing Address
Dr. IRA LEE GOODMAN MD
8390 E VIA DE VENTURA SUITE F-110
SCOTTSDALE, AZ 85258-3188
Phone number: 602-741-3502