Individual
MR. DAVID GUTIERREZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1721 TAUSSIG BLVD, NORFOLK, VA 23511
(747) 314-6329
Mailing address
2620 JANSON DR, CHESAPEAKE, VA 23321-3808
(757) 488-3899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840444
VA
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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