Individual
LUTHER DOGBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6564 E BROOKS DR, TUCSON, AZ 85730-1668
(520) 304-3325
Mailing address
6564 E BROOKS DR, TUCSON, AZ 85730-1668
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6709
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6709
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
03/11/2021
Last updated
03/11/2021
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