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NPI Code Detail

MEDICARE: ROBERT E MUTTERPERL DO

MEDICARE: ROBERT E MUTTERPERL DO
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
1207R00000XInternal Medicine Physician3369AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0765360OTHERAZBCBSAZ
23369OTHERAZAZ STATE MEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861438822
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT E MUTTERPERL DO
Provider Business Mailing Address
First Line : 2370 CORPORATE CIR STE 300
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7760
Country : US
Telephone Number : 702-910-3950
Fax Number :
Provider Business Practice Location Address
First Line : 6296 E GRANT RD STE 140
Second Line :
City : TUCSON
State : AZ
Zip : 85712-5876
Country : US
Telephone Number : 520-298-3321
Fax Number : 888-978-2518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 09/12/2025

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Directions to “ ROBERT E MUTTERPERL DO” Practice Location

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