Individual
DOMINGO CHELEUITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E GRANT RD BLDG 1, TUCSON, AZ 85712-2805
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
31374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776396
—
AZ
Enumeration date
07/06/2006
Last updated
09/10/2020
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