| | Physician Last Name: | Goldstein |
| | Physician First Name: | Mark |
| | Physician Middle Name: | J |
| | Address: | 4020 N. Scottsdale Road
Scottsdale, Arizona 85251 |
| | License Number: | 124251 |
| | License Type: | DO |
| | Year of Birth: |
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| | Effective Date: | 10/22/1996 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician admitted he could not successfully defend against the charge of having been disciplined by the Arizona State Board of Osteopathic Examiners in Medicine and Surgery for practicing while impaired and for having violated the terms of his probation imposed by the Arizona State Board of Osteopathic Examiners in Medicine and Surgery. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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