NPI 1689925711

Dean D Ettinger MD PC

Organisation Pediatric Adolescent Medicine Physician Sierra Vista, AZ

Practice location

Address: 155 Calle Portal Suite 200, Sierra Vista, AZ 85635-2900
Phone: (520) 458-0660
Fax: (520) 458-9550

Authorised official

Name: Dean D Ettinger
Title: Owner
Phone: (520) 458-0660

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 12142 (AZ)

Other Pediatrics providers in Arizona →

Registry record

NPI: 1689925711
Entity type: Organization
NPI issued: 28 Sep 2012
Record last updated: 28 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.