Individual
COLT GUTHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4932
Mailing address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041360742
IL
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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