PHILLIP TUTNAUER DPM; NPI #1194962365

Contact Information

PHILLIP TUTNAUER DPM

2175 STATE RD 4
PINON, AZ 86510

Phone: 928-725-9500
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for PHILLIP TUTNAUER DPM

NPI Number 1194962365

LBN Legal business name PHILLIP TUTNAUER DPM

Authorized official PHILLIP TUTNAUER - (PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/09/2009

Last updated 12/03/2025 - About 6 months ago

Identifiers

NJ	License #	MD01901
NJ	Medicaid	3453201

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PHILLIP TUTNAUER DPM

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for PHILLIP TUTNAUER DPM

Reviews for PHILLIP TUTNAUER DPM