Doctor Name: | JO ANN OWEN GOTT |
NPI Number: | 1013289701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AP2248 |
Business Practice Address: | 715 N Cholla St Chandler, AZ - 852244287 |
Business Phone Number: | 4802031046 |
Business Fax Number: | |
Mailing Address: | 3300 W Camelback Rd, PHOENIX |
State: | AZ |
Postal Code: | 850173030 |
Phone Number: | 6026397757 |
Fax Number: | 6026397830 |
NPI Enumeration Date: | 01/27/2012 |
NPI Last Update Date: | 01/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP2248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |