Organization
EL DORADO ANESTHESIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CUTTER M.D. (PRESIDENT)
(530) 622-1441
Entity
Organization
Contact information
Practice address
1100 MARSHALL WAY, PLACERVILLE, CA 95667
(530) 622-1441
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5050
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094580
—
CA
Enumeration date
05/10/2006
Last updated
07/06/2018
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