Thomas Wright Lutz, D.O.
Individual provider Active NPI General Practice Physician · Carefree, AZ
NPI 1417142829 · NPPES record last updated Sep 10, 2007
Key facts
- NPI
- 1417142829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 2303 (AZ)
- Practice address
- 6443 E El Sendero
Carefree, AZ 85377-2521 - Phone
- (480) 488-1556
- Fax
- (480) 488-6999
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2303 | AZ | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2303 | AZ | Yes |
Addresses
Primary practice location
6443 E El Sendero
Carefree, AZ 85377-2521
Mailing address
PO Box 2521
Carefree, AZ 85377-2521
Phone (480) 488-1556
Other providers in Carefree, AZ
- Susanne Catherine Johnson
- Kenneth Kearns
- George Koukouves
- Lisa Lloyd
- Lodo Pain LLC
- Faiza Malik
- Tamara Cheryl Martin-Causey
- Yeseniya Matatova
- Patricia Lillian Miller
- Amy Moet
All providers in Carefree, AZ · General Practice Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.