Individual
MRS. COURTENEY EVANS GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
4301 W MARKHAM ST # 532, LITTLE ROCK, AR 72205-7101
(501) 686-5311
(501) 686-6439
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022270
NY
363AS0400X
Surgical Physician Assistant
Primary
PA-1044
AR
Other
Enumeration date
08/10/2018
Last updated
05/24/2024
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