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Individual

CHANDRA MAYA GOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
17218 N 72ND DR STE 101, GLENDALE, AZ 85308-8580
(623) 334-8671
(623) 334-8675
Mailing address
9590 E IRONWOOD SQUARE DR, STE 125, SCOTTSDALE, AZ 85258-4583
(480) 455-3000
(866) 819-6115

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7038
AZ
363A00000X
Physician Assistant
PA52670
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
441762
AZ
Enumeration date
08/12/2015
Last updated
02/10/2020
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