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Organization
M. NIEVES GUTIERREZ-GO, MD, INC
Active
Organization
M. NIEVES GUTIERREZ-GO, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. NIEVES GUTIERREZ-GO (PRESIDENT)
(760) 347-2887
Entity
Organization
Contact information
Practice address
80495 US HIGHWAY 111, INDIO, CA 92201-6534
(760) 347-2887
(760) 347-0776
Mailing address
80495 US HIGHWAY 111, INDIO, CA 92201-6534
(760) 347-2887
(760) 347-0776
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A51819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089770
—
CA
Enumeration date
05/05/2008
Last updated
05/05/2008
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