Individual
ELLIOT DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 W OSBORN RD, PHOENIX, AZ 85019-4037
(602) 272-7676
Mailing address
3501 W OSBORN RD, PHOENIX, AZ 85019-4037
(480) 251-6200
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
8344
AZ
363A00000X
Physician Assistant
Primary
8344
AZ
Other
Enumeration date
05/27/2021
Last updated
12/05/2022
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