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Individual

MR. WALT HUTTON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10645
AZ

Other

Enumeration date
09/28/2017
Last updated
04/03/2018
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