Individual
WILLIAM A KUTCHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 585-7676
(801) 587-7290
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4913
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060069348
RAILROAD MEDICARE
AK
05
—
1011213
—
AK
Enumeration date
07/17/2006
Last updated
01/16/2015
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