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Contact Information

ELLIOT DUTTON
3501 W OSBORN RD
PHOENIX, AZ85019-4037
 Phone: 602-272-7676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELLIOT DUTTON · (Male)

NPI Number 1164098570
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2021
Last updated 12/05/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 8344
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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