Individual
BECKY GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 S STAPLEY DR STE 111, MESA, AZ 85204-5060
(480) 398-1220
(480) 398-1230
Mailing address
2531 S GILBERT RD, STE 111, GILBERT, AZ 85295-5892
(480) 398-1220
(480) 983-4317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137766
AZ
363L00000X
Nurse Practitioner
Primary
AP3868
AZ
Other
Enumeration date
12/16/2010
Last updated
01/26/2016
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