Individual
CHRISTOPHER GUTH
Active
Individual
CHRISTOPHER GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110840730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002940215
—
VA
01
—
P002090857
MEDICARE RAILROAD
VA
Enumeration date
01/30/2006
Last updated
11/15/2018
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