Individual
THOMAS SHUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3157 W LINDA LN, BENSON, AZ 85602-7724
(520) 221-1718
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8625188
AZ
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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