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NPI 1942477039

NPI 1942477039 : DENNIS R. GUTZMAN, MD PA : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1942477039
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    Entity Type          |    Organization 
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    Legal Business Name  |    DENNIS R. GUTZMAN, MD PA 
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Dates
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    Enumeration Date     |    05/08/2008
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    Last Update Date     |    06/17/2009
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Provider Practice Location Address
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    Address Line         |    2424 BABCOCK RD SUITE 201
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-6031
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    Country              |    US
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    Telephone            |    210-616-0462
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    Fax                  |    210-616-0467
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Provider Business Mailing Address
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    Address Line         |    2424 BABCOCK RD SUITE 201
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-6031
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    Country              |    US
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    Telephone            |    210-616-0462
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    Fax                  |    210-616-0467
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. DENNIS R GUTZMAN 
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    Credential           |    MD
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    Telephone            |    210-616-0465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    E7102
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    License Number State |    TX
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