MEDICARE: CRISTIAN E. SCIUTTO, MD PLC

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	28345	AZ

General Provider Information

NPI Number	:	1831415991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRISTIAN E. SCIUTTO, MD PLC

Provider Business Mailing Address
First Line	:	PO BOX 16243
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85011-6243
Country	:	US
Telephone Number	:	602-770-1768
Fax Number	:	602-595-6686

Provider Business Practice Location Address
First Line	:	1007 N 2ND AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85003-1414
Country	:	US
Telephone Number	:	602-770-1768
Fax Number	:	602-595-6686

Authorized Official
Title or Position	:	OWNER
Name	:	CRISTIAN E SCIUTTO
Credential	:	MD
Telephone Number	:	602-770-1768

Provider Enumeration Date	:	04/14/2010
Last Update Date	:	04/14/2010

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