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Individual

ROBERT E MUTTERPERL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6296 E GRANT RD STE 140, TUCSON, AZ 85712-5876
(520) 298-3321
(888) 978-2518
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3369
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3369
AZ STATE MEDICAL LICENSE
AZ
05
410348
AZ
05
792417
AZ
01
AZ0765360
BCBSAZ
AZ
Enumeration date
06/20/2006
Last updated
09/12/2025
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