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Contact Information

PHILLIP TUTNAUER DPM
2175 STATE RD 4
PINON, AZ86510
 Phone: 928-725-9500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PHILLIP TUTNAUER DPM · (Female)

NPI # 1194962365
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2009
Last updated 12/03/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MD01901
  • NJ Medicaid 3453201
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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