| Ryan Goldman, Pllc | |
|
16514 N 170th Ln Surprise AZ 85388-1382 | |
| (480) 544-6730 | |
| Not Available |
| Full Name | Ryan Goldman, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16514 N 170th Ln, Surprise, Arizona |
| Authorized Official Name and Position | Ryan Goldman (OWNER) |
| Authorized Official Contact | 4805446730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Goldman, Pllc 16514 N 170th Ln Surprise AZ 85388-1382 Ph: () - | Ryan Goldman, Pllc 16514 N 170th Ln Surprise AZ 85388-1382 Ph: (480) 544-6730 |
| NPI Number | 1265271803 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265271803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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