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NPI Code Detail

MEDICARE: JEFFREY LYLE CUTLER

MEDICARE: JEFFREY LYLE CUTLER
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
1207Y00000XOtolaryngology PhysicianD0066831MD
2207Y00000XOtolaryngology PhysicianDR.0048532CO
3207YX0602XOtolaryngic Allergy Physician48532CO

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 : 1114941358
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY LYLE CUTLER
Provider Business Mailing Address
First Line : PO BOX 172263
Second Line :
City : DENVER
State : CO
Zip : 80217-2263
Country : US
Telephone Number : 303-306-7783
Fax Number : 303-306-7753
Provider Business Practice Location Address
First Line : 850 E HARVARD AVE STE 505
Second Line :
City : DENVER
State : CO
Zip : 80210-5078
Country : US
Telephone Number : 303-744-1961
Fax Number : 303-744-1154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/24/2024

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Directions to “ JEFFREY LYLE CUTLER ” Practice Location

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