MEDICARE: DR. CHRISTOPHER SCOTT CUTLER 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
1	207RG0100X	Gastroenterology Physician	290128-1205	UT

General Provider Information

NPI Number	:	1437162013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER SCOTT CUTLER MD

Provider Business Mailing Address
First Line	:	1393 E SEGO LILY DR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4350
Country	:	US
Telephone Number	:	801-619-9000
Fax Number	:	801-619-9001

Provider Business Practice Location Address
First Line	:	1393 E SEGO LILY DR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4350
Country	:	US
Telephone Number	:	801-619-9000
Fax Number	:	801-619-9001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	10/22/2019

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