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Individual

DR. POOJA GOTTUMUKKALA HAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 812-3122
Mailing address
4001 N 3RD ST STE 290, PHOENIX, AZ 85012-2071

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
010795
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/07/2021
Last updated
04/16/2024
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