Individual
MARY GOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3303 E BASELINE RD STE 208, GILBERT, AZ 85234-2728
(480) 962-1650
(480) 962-1883
Mailing address
3303 E BASELINE RD STE 208, GILBERT, AZ 85234-2728
(480) 962-1650
(480) 962-1883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7416
AZ
363AM0700X
Medical Physician Assistant
7416
AZ
Other
Enumeration date
02/22/2019
Last updated
11/03/2021
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