Individual
ROSS DANIEL LUTHER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016
(602) 263-1200
Mailing address
PO BOX 31001, PASADENA, CA 91110-1512
(480) 206-6561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14875
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336198779
NPI
AZ
05
—
44043812
—
AZ
Enumeration date
05/10/2006
Last updated
04/26/2019
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