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NPI Code Detail

MEDICARE: CRISTINA L. GUERRA MD

MEDICARE:   CRISTINA L. GUERRA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianP4450TX
2208600000XSurgery Physician2005-0700NM
3208600000XSurgery Physician27116OK
4208600000XSurgery PhysicianME115100FL
5208600000XSurgery PhysicianE-16038AR
6208600000XSurgery PhysicianA86054CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417930041
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA L. GUERRA MD
Provider Business Mailing Address
First Line : PO BOX 776084
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6084
Country : US
Telephone Number : 314-364-4200
Fax Number : 850-416-7198
Provider Business Practice Location Address
First Line : 7001 ROGERS AVE STE 600
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4073
Country : US
Telephone Number : 479-573-3101
Fax Number : 479-573-3102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 10/04/2023

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Directions to “ CRISTINA L. GUERRA MD” Practice Location

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