Individual
RENE ALFREDO URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFED PEDORTHIST
Contact information
Practice address
1954 S DOBSON RD STE 4, MESA, AZ 85202-5660
(480) 777-5517
(480) 777-5543
Mailing address
1954 S DOBSON RD STE 4, MESA, AZ 85202-5660
(480) 777-5517
(480) 777-5543
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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