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1972693935

NPI Code Detail

MEDICARE: DR. ROBERT B GOLDSTEIN M.D.

MEDICARE: DR. ROBERT B GOLDSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	MD 00039823	WA
2	174400000X	Specialist	MD00039823	WA
3	207L00000X	Anesthesiology Physician	100928	MT
4	207L00000X	Anesthesiology Physician	MD218382	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01575139	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	348352	OTHER	WA	WA LABOR & INDUSTRIES

General Provider Information

NPI Number	:	1972693935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT B GOLDSTEIN M.D.

Provider Business Mailing Address
First Line	:	6703 W RIO GRANDE AVE
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-2623
Country	:	US
Telephone Number	:	509-460-5918
Fax Number	:	509-736-1503

Provider Business Practice Location Address
First Line	:	6200 N LA CHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3529
Country	:	US
Telephone Number	:	520-742-9000
Fax Number	:	659-235-6176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	12/08/2025

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Directions to “ DR. ROBERT B GOLDSTEIN M.D.” Practice Location

Language	Start Address	Practice Location

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