Healthcare Provider Details

I. General information

NPI: 1710941729
Provider Name (Legal Business Name): LAURA H. GOETZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10510 N 92ND ST STE 200
SCOTTSDALE AZ
85258-4566
US

IV. Provider business mailing address

10510 N 92ND ST STE 200
SCOTTSDALE AZ
85258-4566
US

V. Phone/Fax

Practice location:
  • Phone: 480-323-1350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number57872
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA86535
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number57872
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: