MEDICARE: DR. JERRY HUGH HUTCHINSON JR. D.O.

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
1	207R00000X	Internal Medicine Physician	2233	AZ

General Provider Information

NPI Number	:	1588635692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERRY HUGH HUTCHINSON JR. D.O.

Provider Business Mailing Address
First Line	:	PO BOX 43130
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3130
Country	:	US
Telephone Number	:	520-722-3777
Fax Number	:	520-296-6224

Provider Business Practice Location Address
First Line	:	7383 E TANQUE VERDE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-3475
Country	:	US
Telephone Number	:	520-318-3434
Fax Number	:	520-318-3435

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	06/07/2013

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