person
Dr. Michael Stuart Putland, MD
Adult Medicine Physician in Goodyear, Arizona
NPI 1679576615

Michael Stuart Putland is an Adult Medicine Physician based in Goodyear, AZ and is specialized in Adult Medicine. Michael Stuart Putland practices in Goodyear, AZ and has the professional credentials of MD. The NPI Number for Michael Stuart Putland is 1679576615 and holds a License No. ME88971 (Arizona).

The current practice location address for Michael Stuart Putland is 14200 W Fillmore St, Goodyear, AZ and can be reached out via phone at 623-207-3000.

Location: 14200 W Fillmore St, Goodyear, AZ, 85338-3005
person
Provider Profile Details
NPI Number
1679576615
Provider Name
Michael Stuart Putland
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14200 W Fillmore St, Goodyear, AZ, 85338-3005
Phone Number
623-207-3000
Fax Number
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82513 01 FL INDIVIDUAL BCBS ID NUMBER
99039 01 FL GROUP BCBS ID NUMBER
000925383B 05 GA
AJ564 01 FL MEDICARE GIN
268691100 05 FL
P00625816 01 FL MEDICARE RAIL ROAD
institution
Provider Business Practice Location Address Details
Address
14200 W Fillmore St
City
State
Zip
85338-3005
Phone Number
623-207-3000
Fax Number
person
Provider Business Mailing Address Details
Address
14200 W Fillmore St
City
State
Zip
85338-3005
Phone Number
623-207-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
ME88971 (Florida)
Definition
Definition to come.
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