Individual
IVAN MISAEL GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5166 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-5338
(520) 795-5382
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-2308
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
59674
AZ
Other
Enumeration date
05/05/2008
Last updated
08/18/2021
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