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Individual

DR. ANATOLE FRANK GUTOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
159 MESCALERO TRL, SUITE 1, RUIDOSO, NM 88345-6089
(505) 257-5029
(505) 257-9096
Mailing address
159 MESCALERO TRL, SUITE 1, RUIDOSO, NM 88345-6089
(505) 257-5029
(505) 257-9096

Taxonomy

Speciality
Code
Description
License number
State
152WX0102X
Occupational Vision Optometrist
Primary
333
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410032284
RAILROAD MEDICARE
NM
05
P0821
NM
01
P420
BCBS
NM
Enumeration date
10/27/2006
Last updated
10/15/2012
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