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NPI Code Detail

MEDICARE: DR. MICHAEL ANTHONY GUTIERREZ M.D.

MEDICARE: DR. MICHAEL ANTHONY GUTIERREZ M.D.
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
1207R00000XInternal Medicine Physician31081CO

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 : 1013075704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANTHONY GUTIERREZ M.D.
Provider Business Mailing Address
First Line : 3520 W OXFORD AVE
Second Line :
City : DENVER
State : CO
Zip : 80236-3108
Country : US
Telephone Number : 303-866-7054
Fax Number : 303-866-7197
Provider Business Practice Location Address
First Line : 3520 W OXFORD AVE
Second Line :
City : DENVER
State : CO
Zip : 80236-3108
Country : US
Telephone Number : 303-866-7054
Fax Number : 303-866-7197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 11/14/2007

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