Individual provider · NPI-1

Susana Gloria Couch

Family Medicine · Buckeye, AZ

NPI number1821934209
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1821934209
Entity type
Individual (NPI-1)
Name
Susana Gloria Couch
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 27, 2026
Certification date
Apr 27, 2026
Last updated
Apr 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine338295AZYes

Practice location

208 N 4th St
Buckeye, AZ 85326-2404

Phone 623-910-6033

Mailing address

18455 N 167th Ln
Surprise, AZ 85374-6857

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