Gutierrez, Ivan Misael
Gutierrez, Ivan Misael is an individual health care provider with primary practice located at 5166 E Glenn St , Tucson AZ 85712-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Gutierrez, Ivan Misael can be contacted via phone (520) 795-5338.Contact Information
Primary practice address
5166 E Glenn St
Tucson AZ 85712-1337
Phone: (520) 795-5338
Fax: (520) 795-5382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 59674 | Arizona |
Profile Details
| NPI number | 1346416864 |
|---|---|
| LBN Legal business name | Gutierrez, Ivan Misael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | Aug 18th, 2021 - about 3 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.
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