Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD23524 | AZ |
NPI | 1295790244 |
---|---|
Provider Name | Dr. Scot M. Hutchison |
First Address | Tucson, AZ 85712-1282 |
Second Address | Tucson, AZ 85712-1282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F44143 | (02) | AZ |