Gutierrez-Calleros, Guillermo A
Gutierrez-Calleros, Guillermo A is an individual health care provider with primary practice located at 4722 N 24Th St Suite 150, Phoenix AZ 85016-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Gutierrez-Calleros, Guillermo A can be contacted via phone (602) 256-4628.Contact Information
Primary practice address
4722 N 24Th St Suite 150
Phoenix AZ 85016-4800
Phone: (602) 256-4628
Fax: (602) 957-9438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16667 | Arizona |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 16667 | Arizona |
Profile Details
| NPI number | 1649200734 |
|---|---|
| LBN Legal business name | Gutierrez-Calleros, Guillermo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | May 13th, 2013 - about 12 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 | 1649200734 | NPPES |
| Arizona | MEDICAID | 118762 |
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