Individual
BRENT CUTRO
Active
Individual
BRENT CUTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02004954A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
36129147
IL
390200000X
Student in an Organized Health Care Education/Training Program
PENDING
IL
Other
Enumeration date
07/10/2009
Last updated
11/27/2023
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