Individual
STEPHANIE DIANE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6565 E CARONDELET DR STE 235A, TUCSON, AZ 85710-3533
(520) 367-1050
(520) 844-7600
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9116
AZ
Other
Enumeration date
05/15/2018
Last updated
04/28/2024
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