Mary Goetsch, PA-C
Physician Assistant in Gilbert, AZ. Individual provider (NPI-1).
NPI number1083171375
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1083171375
- Entity type
- Individual (NPI-1)
- Name
- Mary Goetsch
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2019
- Certification date
- Oct 28, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 7416 | AZ | Yes |
| 363AM0700X | Physician Assistant, Medical | 7416 | AZ |
Other names
- Mary Morhardt (Former Name)
Practice location
3303 E Baseline Rd Ste 208Gilbert, AZ 85234-2728
Phone 480-962-1650 · Fax 480-962-1883
Mailing address
3303 E Baseline Rd Ste 208Gilbert, AZ 85234-2728
Phone 480-962-1650 · Fax 480-962-1883
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All 242 Physician Assistant providers in Gilbert · All 7,856 providers in Gilbert
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