Organization
BLUE RIDGE PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUIDO P GUTTER M.D. (PHYSICIAN)
(276) 632-3900
Entity
Organization
Contact information
Practice address
319 HOSPITAL DR, SUITE 101, MARTINSVILLE, VA 24112-1929
(276) 632-3900
(273) 632-3989
Mailing address
319 HOSPITAL DR, SUITE 101, MARTINSVILLE, VA 24112-1929
(276) 632-3900
(273) 632-3989
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101240846
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248470
BLUE CROSS BLUE SHIELD
VA
Enumeration date
11/01/2006
Last updated
08/12/2008
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