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Contact Information

AUDREY GOLDTOOTH
4212 N 16TH ST
PHOENIX, AZ85016-5319
 Phone: 602-263-1200
 Fax: 602-200-5383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for AUDREY GOLDTOOTH · (Female)

NPI Number 1194105270
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2015
Last updated 06/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 157431
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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