Individual
DR. JASON J GUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 E STOP 11 RD, SUITE 400, INDIANAPOLIS, IN 46237-6341
(317) 573-4370
(317) 819-0044
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01059929A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200507230
—
IN
01
—
P00225989
MEDICARE RAILROAD
IN
Enumeration date
01/03/2007
Last updated
04/03/2026
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