Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 35132893 | OH |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 53658 | AZ |
NPI | 1295091213 |
---|---|
Provider Name | Ryan James Godinsky |
First Address | Scottsdale, AZ 85258 |
Second Address | Scottsdale, AZ 85258-5067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 08/06/2020 |