NPI 1124086152

Calvin L Lutrin, MD

Practitioner Nuclear Medicine Physician Phoenix, AZ

Practice location

Address: 1441 N 12th St, Phoenix, AZ 85006-2837
Phone: (602) 747-4577
Mailing address: 1111 E McDowell Rd, Phoenix, AZ 85006-2612

Registered specialties

Nuclear Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 23471 (AZ)

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Registry record

NPI: 1124086152
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2006
Record last updated: 17 Mar 2008

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.