Individual
SUSAN PAMELA GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 N WILMOT RD STE 101, TUCSON, AZ 85711-2683
(520) 694-5437
Mailing address
11509 E RAFAEL AVE, MESA, AZ 85212-4196
(347) 327-3874
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
62272
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088885
—
AZ
05
—
110077405A
—
MA
05
—
201060510A
—
OK
Enumeration date
07/26/2006
Last updated
06/03/2024
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