Individual
EMILY ANN HATTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49120
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R72204
AZ
Other
Enumeration date
06/28/2010
Last updated
11/01/2019
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