Provider Demographics
NPI:1992963649
Name:HUTCHINSON, CAROL M (DO)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 S PALO VERDE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85714-1947
Mailing Address - Country:US
Mailing Address - Phone:520-638-2000
Mailing Address - Fax:520-807-0990
Practice Address - Street 1:4710 S PALO VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714-1947
Practice Address - Country:US
Practice Address - Phone:520-638-2000
Practice Address - Fax:520-807-6872
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2121207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine