Individual
NEMESIO E GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 BUSINESS LOOP 70 W, COLUMBIA, MO 65203-2546
(573) 884-1400
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MDR4H80
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114225
BLUE SHIELD/BLUE CHOICE
MO
01
—
1500107
UNITED HEALTHCARE
MO
05
—
202694121
—
MO
01
—
260035875
RR MEDICARE
MO
01
—
33468547
ILLINOIS MEDICAID
IL
01
—
342200
HEALTHLINK
MO
01
—
K51B502
KANSAS MEDICARE
KS
Enumeration date
05/02/2006
Last updated
07/08/2007
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