Individual
DR. RITU GOTHWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3262 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2255
(928) 771-4788
(928) 771-5712
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-7611
AR
207R00000X
Internal Medicine Physician
Primary
52595
AZ
207R00000X
Internal Medicine Physician
MD441071
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
52595
AZ
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
MD441071
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195310001
—
AR
05
—
223558
—
AZ
Enumeration date
01/31/2010
Last updated
04/27/2018
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