Individual
CAROL L HULETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1951 FRONTAGE RD, SIERRA VISTA, AZ 85635-4606
(520) 458-0650
(520) 459-7030
Mailing address
302 EL CAMINO REAL, STE 5, SIERRA VISTA, AZ 85635-2860
(520) 458-4335
(520) 452-2232
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
CH042439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385927
—
AZ
Enumeration date
09/12/2006
Last updated
10/01/2010
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