Individual
SUSANA GLORIA COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 N 4TH ST, BUCKEYE, AZ 85326-2404
(623) 910-6033
Mailing address
18455 N 167TH LN, SURPRISE, AZ 85374-6857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338295
AZ
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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