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Organization

DEAN D ETTINGER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEAN D ETTINGER M.D. (OWNER)
(520) 458-0660
Entity
Organization

Contact information

Practice address
155 CALLE PORTAL, SUITE 200, SIERRA VISTA, AZ 85635-2900
(520) 458-0660
(520) 458-9550
Mailing address
155 CALLE PORTAL, SUITE 200, SIERRA VISTA, AZ 85635-2900
(520) 458-0660
(520) 458-9550

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
12142
AZ

Other

Enumeration date
09/28/2012
Last updated
09/28/2012
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