Gotfried, Mark Hiram
Gotfried, Mark Hiram is an individual health care provider with primary practice located at 3811 E Bell Rd Ste 107 , Phoenix AZ 85032-2158. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gotfried, Mark Hiram can be contacted via phone (602) 340-1689.Contact Information
Primary practice address
3811 E Bell Rd Ste 107
Phoenix AZ 85032-2158
Phone: (602) 340-1689
Fax: (602) 340-1853
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12668 | Arizona |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 12668 | Arizona |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 12668 | Arizona |
Profile Details
NPI number | 1952353658 |
---|---|
LBN Legal business name | Gotfried, Mark Hiram |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Jun 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952353658 | NPPES |
Arizona | Other | 12668 | LICENSE |
Arizona | MEDICAID | 235607 | LICENSE |
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