Individual
DR. JOHN R TRETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
803 N SALK DR, BUILDINGS A&B, CASA GRANDE, AZ 85122-5447
(520) 836-6682
(520) 836-6703
Mailing address
803 N SALK DR, PREMIER CARDIOVASCULAR CENTER, CASA GRANDE, AZ 85122-5447
(520) 836-6682
(520) 836-6703
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239183
—
NY
Enumeration date
09/02/2005
Last updated
10/18/2016
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