Individual
DR. MEGAN GOFF DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6644 E BASELINE RD STE 102, MESA, AZ 85206-4439
(480) 844-0510
(480) 844-1663
Mailing address
130 S 63RD ST, BLDG 3 SUITE 114, MESA, AZ 85206-1620
(480) 981-2888
(480) 654-0599
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3756
AZ
207NS0135X
Procedural Dermatology Physician
3756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898760
—
AZ
Enumeration date
08/17/2005
Last updated
06/29/2024
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