Individual
MEGAN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1010
Mailing address
5777 E. MAYO BLVD, PHOENIX, AZ 85054
(480) 342-1010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5900
AZ
363AM0700X
Medical Physician Assistant
5900
AZ
Other
Enumeration date
10/20/2014
Last updated
02/26/2025
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