Individual
GUILLERMO A GUTIERREZ-CALLEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4722 N 24TH ST, SUITE 150, PHOENIX, AZ 85016-4800
(602) 256-4628
(602) 957-9438
Mailing address
4722 N 24TH ST, SUITE 150, PHOENIX, AZ 85016-4800
(602) 256-4628
(602) 957-9438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
16667
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
16667
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118762
—
AZ
Enumeration date
07/04/2006
Last updated
05/13/2013
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