Healthcare Provider Details

I. General information

NPI: 1033255195
Provider Name (Legal Business Name): FRANK D. GUTMANN M.D., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 HUMMINGBIRD CIR
SILVERTHORNE CO
80498-2894
US

IV. Provider business mailing address

PO BOX 2894
SILVERTHORNE CO
80498-2894
US

V. Phone/Fax

Practice location:
  • Phone: 970-513-9685
  • Fax: 970-513-9685
Mailing address:
  • Phone: 970-513-9685
  • Fax: 970-513-9685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberDRP0000560
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: