Healthcare Provider Details

I. General information

NPI: 1255329959
Provider Name (Legal Business Name): MATHEW D HUTCHINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N CAMPBELL AVENUE
TUCSON AZ
85724-4306
US

IV. Provider business mailing address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

V. Phone/Fax

Practice location:
  • Phone: 520-874-3457
  • Fax: 520-874-3457
Mailing address:
  • Phone: 520-694-5745
  • Fax: 520-874-3457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number52342
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: