Individual
MRS. ADRIENNE E GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2244 S AVE A, STE E, YUMA, AZ 85364-2924
(810) 230-0430
(810) 230-6733
Mailing address
PO BOX 5641, YUMA, AZ 85366-5641
(928) 783-5857
(928) 783-4035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036105786
IL
207R00000X
Internal Medicine Physician
Primary
36943
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320726
—
AZ
01
—
L95311
MEDICARE PIN
—
Enumeration date
06/20/2006
Last updated
12/17/2014
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