Individual
THOMAS GUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
6147 UNIVERSITY AVE, SAN DIEGO, CA 92115-5720
(619) 582-3871
(619) 582-3999
Mailing address
6147 UNIVERSITY AVENUE, SAN DIEGO, CA 92115-5720
(619) 582-3871
(619) 582-3999
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
CP000845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XB0008450
—
CA
Enumeration date
03/14/2008
Last updated
03/14/2008
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