Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60418038 | WA |
NPI | 1013344829 |
---|---|
Provider Name | Dr. Joshua Zvi Goldenberg |
First Address | Colorado Springs, CO 80907-6262 |
Second Address | Colorado Springs, CO 80907-6262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2013 |
Last Update Date | 25/08/2020 |