MARK D GOLDBERG, MD, PC
Ambulatory Health at Main St, Mesa, AZ

License number
Arizona 18592
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MARK D GOLDBERG MD
Title: MEDICAL DIRECTR
Phone: (480) 396-3222
Address
Address
5252 E Main St, Mesa, AZ 85205
National Provider ID: 1841482601
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK D. GOLDBERG, M.D., PC

5252 E Main St, Mesa, AZ 85205

Registration:
Jul 9, 1990
State ID:
-0225016-6
Expiration:
PERPETUAL
President:
Mark D Goldberg (President), 5252 E Main St, Mesa, AZ 85205 (Physical)
Agent:
Todd Weintraub,3336 N 32 St #108, Phoenix, AZ 85018 (Physical)
Business type:
HEALTH CARE

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