Individual
DR. ROBERT LYNN WIRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7383 E TANQUE VERDE RD, TUCSON, AZ 85715-3475
(520) 318-3434
(520) 318-3435
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005514
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596973
—
AZ
Enumeration date
06/26/2008
Last updated
05/21/2013
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