Individual
STACIE GOOCH MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9787 N 91ST ST STE 101, SCOTTSDALE, AZ 85258-5088
(480) 563-6400
(480) 563-8009
Mailing address
PO BOX 6408, SCOTTSDALE, AZ 85261-6408
(480) 563-6400
(480) 563-8009
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A12270
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
7640
AZ
Other
Enumeration date
06/26/2008
Last updated
10/26/2020
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