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NPI Code Detail

MEDICARE: RONALD E SAUTTER MD

MEDICARE: RONALD E SAUTTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20030128NM

General Provider Information

NPI Number : 1376577577
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD E SAUTTER MD
Provider Business Mailing Address
First Line : 2510 W DUNLAP AVE
Second Line : STE 290
City : PHOENIX
State : AZ
Zip : 85021-2737
Country : US
Telephone Number : 602-789-0344
Fax Number : 602-870-7566
Provider Business Practice Location Address
First Line : 8208 LOUISIANA BLVD NE
Second Line : STE C
City : ALBUQUERQUE
State : NM
Zip : 87113-1757
Country : US
Telephone Number : 505-858-1222
Fax Number : 505-858-1224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 01/11/2017

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Directions to “ RONALD E SAUTTER MD” Practice Location

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