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Organization

AHWATUKEE PEDIATRICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JO FOA KUTLER DO (PRESIDENT)
(480) 496-6444
Entity
Organization

Contact information

Practice address
15715 S 46TH ST, SUITE 102, PHOENIX, AZ 85048-0438
(480) 496-6444
(480) 496-9688
Mailing address
15715 S 46TH ST, SUITE 102, PHOENIX, AZ 85048-0438
(480) 496-6444
(480) 496-9688

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2633
AZ

Other

Enumeration date
08/12/2005
Last updated
05/12/2008
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