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NPI Code Detail

MEDICARE: DR. JOSEPH M GUTIERREZ M.D.

MEDICARE:  DR. JOSEPH M GUTIERREZ  M.D.
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 Physician32998AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538143300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH M GUTIERREZ M.D.
Provider Business Mailing Address
First Line : PO BOX 55015
Second Line :
City : PHOENIX
State : AZ
Zip : 85078-5015
Country : US
Telephone Number : 602-513-3616
Fax Number : 480-657-9265
Provider Business Practice Location Address
First Line : 8022 N 27TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-6302
Country : US
Telephone Number : 602-513-3616
Fax Number : 480-657-9265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 01/03/2018

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Directions to “ DR. JOSEPH M GUTIERREZ M.D.” Practice Location

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