Individual
AMANDA ETHEL KUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-0000
Mailing address
1712 W ENCINAS ST, GILBERT, AZ 85233-2307
(952) 412-5667
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
06/05/2014
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