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NPI Code Detail

MEDICARE: DR. DAVID GUTIERREZ MD

MEDICARE: DR. DAVID GUTIERREZ 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 Physician205937LA

General Provider Information

NPI Number : 1497747430
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GUTIERREZ MD
Provider Business Mailing Address
First Line : 2104 LOOP RD STE E
Second Line :
City : WINNSBORO
State : LA
Zip : 71295-3341
Country : US
Telephone Number : 318-435-4084
Fax Number : 318-435-9260
Provider Business Practice Location Address
First Line : 2104 LOOP RD STE E
Second Line :
City : WINNSBORO
State : LA
Zip : 71295-3341
Country : US
Telephone Number : 318-435-4084
Fax Number : 318-435-9260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 03/08/2013

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Directions to “ DR. DAVID GUTIERREZ MD” Practice Location

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