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NPI Code Detail

MEDICARE: MR. DOUGLAS N CUTTER MD

MEDICARE: MR. DOUGLAS N CUTTER 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
1207Q00000XFamily Medicine Physician0101039664VA
2207QS0010XSports Medicine (Family Medicine) Physician0101039664VA

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 : 1831188986
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DOUGLAS N CUTTER MD
Provider Business Mailing Address
First Line : PO BOX 91734
Second Line :
City : RICHMOND
State : VA
Zip : 23291-1734
Country : US
Telephone Number : 804-358-6100
Fax Number : 804-560-6505
Provider Business Practice Location Address
First Line : 9000 STONY POINT PKWY
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1900
Country : US
Telephone Number : 804-560-8945
Fax Number : 804-560-7342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 06/11/2021

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