DAN SHTUTMAN

FLAGSTAFF, AZ
NPI1598327025
Professional NameDAN SHTUTMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  008728)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R3299)
Enumeration Date2019-07-04
Last Update Date2021-05-07
Business Address
DAN SHTUTMAN DO
2920 N 4TH ST
FLAGSTAFF, AZ 86004-1816
Phone number: 928-522-9400
Mailing Address
DAN SHTUTMAN DO
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 480-375-0123