Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4468 | AZ |
N | 111NI0900X | Internist | 4468 | AZ |
Y | 207RH0002X | Hospice and Palliative Medicine | 4468 | AZ |
NPI | 1235105859 |
---|---|
Provider Name | Dr. Richard Vance Guthrie JR. |
First Address | Scottsdale, AZ 85259-5499 |
Second Address | Scottsdale, AZ 85259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 09/09/2020 |