Individual
ERNESTO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 S CAMPBELL AVE BLDG 2, GREEN VALLEY, AZ 85614-0502
(520) 407-5400
(520) 407-5990
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 818-3616
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16627
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277401
—
AZ
Enumeration date
01/19/2007
Last updated
01/31/2020
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