Individual
SUZETTE T AVETIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2240 WINROW AVE, US MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613-7079
(520) 533-5092
Mailing address
2240 WINROW AVE, US MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613-7079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ4156
AZ
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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