Individual
DR. EDWARD RUSSELL UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO, DEPT OF OTOLARYNGOLOGY, SAN DIEGO, CA 92134-0001
(619) 532-9600
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO, DEPT OF OTOLARYNGOLOGY, SAN DIEGO, CA 92134-0001
(619) 532-9600
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD23309
ME
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/19/2010
Last updated
09/26/2023
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