Organization
TODD GUTHRIE, M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD B GUTHRIE M.D. (OWNER)
(530) 926-5211
Entity
Organization
Contact information
Practice address
635 LASSEN LN, MOUNT SHASTA, CA 96067-9003
(530) 926-5211
(530) 926-5740
Mailing address
635 LASSEN LN, MOUNT SHASTA, CA 96067-9003
(530) 926-5211
(530) 926-5740
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G60880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G608800
BLUE SHIELD
CA
05
—
00G608800
—
CA
01
—
P00236736
RAILROAD MEDICARE PIN
CA
Enumeration date
10/02/2007
Last updated
08/15/2019
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