Individual
DR. JOHN P WAYTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
450 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 586-2261
Mailing address
4119 E SELLS DR, PHOENIX, AZ 85018-4253
(602) 430-8910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2855
AZ
208D00000X
General Practice Physician
2855
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150102
—
AZ
Enumeration date
01/09/2007
Last updated
10/29/2025
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