Business Name
Physician First Name
Emilia
Physician Middle Initial
Elizabeth
Physician Last Name
Gomez Vieytez
Practice Name
Specialty
Pediatrics
Office Designation
Primary
Address
22707 S Ellsworth Road
85142
85142
Suite
Suite H101
City
Queen Creek
State
AZ
County
Maricopa
Business Phone Number
(480)792-9200
Business Website Address
Business Fax
(480)792-9206
ASPA Effective Date
11/1/2010
Business Name
Physician First Name
Carrie
Physician Middle Initial
C.
Physician Last Name
Goodrum
Practice Name
Specialty
Family Nurse Practitioner
Office Designation
Primary
Address
22707 S Ellsworth Road
85142
85142
Suite
Suite H101
City
Queen Creek
State
AZ
County
Maricopa
Business Phone Number
(480)792-9200
Business Website Address
Business Fax
(480)792-9206
ASPA Effective Date
5/4/2020
Business Name
Physician First Name
Kurtis
Physician Middle Initial
Russell
Physician Last Name
Smith
Practice Name
Specialty
Nurse Practitioner
Office Designation
Primary
Address
22707 S Ellsworth Road
85142
85142
Suite
Suite H101
City
Queen Creek
State
AZ
County
Maricopa
Business Phone Number
(480)792-9200
Business Website Address
Business Fax
(480)792-9206
ASPA Effective Date
5/4/2020
Business Name
Physician First Name
Cecilia
Physician Middle Initial
A.
Physician Last Name
Munoz
Practice Name
Specialty
Nurse Practitioner
Office Designation
Primary
Address
22707 S Ellsworth Road
85142
85142
Suite
Suite H101
City
Queen Creek
State
AZ
County
Maricopa
Business Phone Number
(480)792-9200
Business Website Address
Business Fax
(480)792-9206
ASPA Effective Date
6/1/2020