# AMG PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376160309
- **Authorized official:** ANDREW GOODEILL DPM (OWNER/MEMBER)
- **Authorized official phone:** (360) 269-2106

## Contact information

- **Practice address:** 4915 E BASELINE RD STE 121, GILBERT, AZ 85234-2969
- **Practice address phone:** (480) 812-3668
- **Mailing address:** 1925 S FOLLETT WAY, GILBERT, AZ 85295-0155
- **Mailing address phone:** (360) 269-2106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2020
- **Last updated:** 08/08/2020