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Individual

MATTHEW GOTFRYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(303) 452-8661
Mailing address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(708) 912-7642

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA.0022803
CO
1835P2201X
Ambulatory Care Pharmacist
Primary
S024583
AZ

Other

Enumeration date
08/12/2019
Last updated
07/14/2020
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