Gutierrez, Jose A

Gutierrez, Jose A is an sole proprietor health care provider with primary practice located at 1400 S Dobson Rd Attn: Pediatric Intensive Care Unit, Mesa AZ 85202-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Gutierrez, Jose A can be contacted via phone (480) 412-3340.

Contact Information

Primary practice address
1400 S Dobson Rd Attn: Pediatric Intensive Care Unit Mesa AZ 85202-4707
Phone: (480) 412-3340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 25242 Arizona

Profile Details

NPI number 1528032109
LBN Legal business name Gutierrez, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Nov 2nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528032109 NPPES
Arizona MEDICAID 385501

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