Individual
CARL J KOUTNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2509
(530) 243-0440
(530) 243-0445
Mailing address
PO BOX 492680, REDDING, CA 96049-2680
(530) 243-0440
(530) 243-0445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G59968
CA
Other
Enumeration date
11/10/2006
Last updated
12/17/2009
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