Ivan Misael Gutierrez
Pediatric Surgery
5166 E Glenn St
Tucson
, Arizona 85712-1337
Ivan Misael Gutierrez
Pediatric Surgery
5166 E Glenn St
Tucson
, Arizona 85712-1337
(520) 324-2308
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Ivan Misael Gutierrez
- Po Box 31235
- Tucson, AZ
- Zip : 85751-1235
- Phone : (520) 324-2308
Second Address
- Ivan Misael Gutierrez
- 5166 E Glenn St
- Tucson, AZ
- Zip : 85712-1337
- Fax : (520) 795-5382
- Phone : (520) 795-5338
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 59674 | AZ |
National Provider Identifier
| NPI | 1346416864 |
|---|---|
| Provider Name | Ivan Misael Gutierrez |
| First Address | Tucson, AZ 85751-1235 |
| Second Address | Tucson, AZ 85712-1337 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2008 |
| Last Update Date | 18/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.