Organization
CARLOS GUTIERREZ PLLC
Active
Other names
InclusiCare Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS CARLOS GUTIERREZ PA-C (PRESIDENT/PHYSICIAN ASSISTANT)
(623) 873-1200
Entity
Organization
Contact information
Practice address
700 W CAMPBELL AVE STE 15, PHOENIX, AZ 85013-2691
(623) 349-1392
Mailing address
700 W CAMPBELL AVE STE 15, PHOENIX, AZ 85013-2691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/02/2023
Last updated
04/04/2024
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