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Individual
DR. JULIAN GUTIERREZ
Active
Individual
DR. JULIAN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD047667L
PA
207Q00000X
Family Medicine Physician
MD-047667-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000074630
HIGHMARK BS
PA
05
—
0017125410005
—
PA
05
—
0017125410006
—
PA
01
—
141949
UNISON
PA
01
—
1514915
GATEWAY
PA
01
—
20023690
AMERIHEALTH
PA
01
—
30024875
KEYSTONE MERCY
PA
01
—
35109
GEISINGER
PA
01
—
50010096
CAPITAL BCBS
PA
Enumeration date
08/31/2006
Last updated
07/31/2015
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