Individual
GORDON BRUCE CUTHBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 IRONWOOD PL, COEUR D ALENE, ID 83814-2670
(208) 769-4222
Mailing address
2205 IRONWOOD PL STE B, COEUR D ALENE, ID 83814-2487
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
10/01/2018
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