645 E MISSOURI AVE STE 300
PHOENIX, AZ 85012-1351 US PECOS Enrolled
Overview
Heather Goodly is a Anesthesiologist in the PHOENIX area and has over 11 years of experience. Heather Goodly primary office location is at 645 E MISSOURI AVE STE 300 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2013
Heather Goodly is affiliated with one hospital in the PHOENIX area, BANNER THUNDERBIRD MEDICAL CENTER. The NPI number is 1013351832 and the information was updated approximately 5 years ago.
Heather Goodly is affiliated with one medical group in the PHOENIX area, VALLEY ANESTHESIOLOGY CONSULTANTS INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 58860 | AZ |
| MD188830 | OR |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Anesthesiologist - Taxonomy Code 207L00000X | AZ | Y |
| Anesthesiologist - Taxonomy Code 207L00000X | OR | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20190917003320 |
| PECOS Individual PAC ID: | 8527315324 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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