Individual
DR. MICHAEL P DUTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
5812 VALERIAN PL NE, ALBUQUERQUE, NM 87111-8121
(505) 292-8103
(505) 292-8103
Mailing address
5812 VALERIAN PL NE, ALBUQUERQUE, NM 87111-8121
(505) 292-8103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5089
NM
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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