Healthcare Provider Details

I. General information

NPI: 1972693935
Provider Name (Legal Business Name): ROBERT B GOLDSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 N LA CHOLLA BLVD
TUCSON AZ
85741-3529
US

IV. Provider business mailing address

6703 W RIO GRANDE AVE
KENNEWICK WA
99336-2623
US

V. Phone/Fax

Practice location:
  • Phone: 520-742-9000
  • Fax: 659-235-6176
Mailing address:
  • Phone: 509-460-5918
  • Fax: 509-736-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD 00039823
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD00039823
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number100928
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD218382
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: