Individual
KEITH B HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001
(928) 773-0003
(928) 773-1170
Mailing address
2800 W PACK TRAIL DR, FLAGSTAFF, AZ 86001-1195
(505) 350-8207
(928) 773-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2003-0715
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
50304
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660740
—
AZ
05
—
93839871
—
NM
Enumeration date
05/16/2006
Last updated
05/15/2023
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