Guthrie, Dale W
Guthrie, Dale W is an individual health care provider with primary practice located at 4540 E Baseline Rd Suite 108, Mesa AZ 85206-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Guthrie, Dale W can be contacted via phone (480) 892-3880.Contact Information
Primary practice address
4540 E Baseline Rd Suite 108
Mesa AZ 85206-4613
Phone: (480) 892-3880
Fax: (480) 545-4551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17893 | Arizona |
Profile Details
| NPI number | 1093784308 |
|---|---|
| LBN Legal business name | Guthrie, Dale W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jun 26th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093784308 | NPPES |
| Arizona | MEDICAID | 278417 | |
| Arizona | MEDICAID | 278417-003 |
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