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Individual

KERRY M AMSTUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1917 S CRISMON RD, MESA, AZ 85209-6216
(480) 610-7100
(480) 610-7115
Mailing address
1917 S CRISMON RD, MESA, AZ 85209-6216
(480) 610-7100
(480) 610-7115

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003021A
IN
207Q00000X
Family Medicine Physician
Primary
4525
AZ

Other

Enumeration date
12/01/2006
Last updated
04/05/2023
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