Individual
DR. JOSE A GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S DOBSON RD, ATTN: PEDIATRIC INTENSIVE CARE UNIT, MESA, AZ 85202-4707
(480) 412-3340
Mailing address
1334 W DEER CREEK RD, PHOENIX, AZ 85045-0753
(480) 412-3340
(480) 460-3632
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25242
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385501
—
AZ
Enumeration date
02/13/2006
Last updated
11/02/2011
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