Individual
DALE W GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4540 E BASELINE RD, SUITE 108, MESA, AZ 85206-4613
(480) 892-3880
(480) 545-4551
Mailing address
4540 E BASELINE RD, SUITE 108, MESA, AZ 85206-4613
(480) 892-3880
(480) 545-4551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17893
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278417
—
AZ
05
—
278417-003
—
AZ
Enumeration date
03/17/2006
Last updated
06/26/2008
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