Provider Demographics
NPI:1831415991
Name:CRISTIAN E. SCIUTTO, MD PLC
Entity type:Organization
Organization Name:CRISTIAN E. SCIUTTO, MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCIUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-770-1768
Mailing Address - Street 1:PO BOX 16243
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85011-6243
Mailing Address - Country:US
Mailing Address - Phone:602-770-1768
Mailing Address - Fax:602-595-6686
Practice Address - Street 1:1007 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1414
Practice Address - Country:US
Practice Address - Phone:602-770-1768
Practice Address - Fax:602-595-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28345207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty