Goode, Susan Pamela

Goode, Susan Pamela is an individual health care provider with primary practice located at 535 N Wilmot Rd Ste 101 , Tucson AZ 85711-2683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Goode, Susan Pamela can be contacted via phone (520) 694-5437.

Contact Information

Primary practice address
535 N Wilmot Rd Ste 101 Tucson AZ 85711-2683
Phone: (520) 694-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 62272 Arizona

Profile Details

NPI number 1255354593
LBN Legal business name Goode, Susan Pamela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255354593 NPPES
Arizona MEDICAID 088885
Arizona MEDICAID 110077405A
Arizona MEDICAID 201060510A

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