Individual
DR. TONYA M BARRUTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5750 W THUNDERBIRD RD, G780, GLENDALE, AZ 85306-4682
(602) 439-0800
(602) 439-0813
Mailing address
8620 N 22ND AVE, 200, PHOENIX, AZ 85021-4201
(602) 674-6506
(602) 674-6512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24397
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174766263463
HUMANA PROVIDER ID
AZ
05
—
432211
—
AZ
01
—
5850641
AETNA PROVIDER ID
AZ
01
—
AZ0767580
BCBS PROVIDER ID
AZ
Enumeration date
08/28/2006
Last updated
06/29/2009
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