Organization
MICHAEL GUTHRIE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GUTHRIE MD (PRESIDENT)
(215) 432-7804
Entity
Organization
Contact information
Practice address
2305 N BROAD ST, PHILADELPHIA, PA 19132-4504
(215) 432-7804
Mailing address
764 N TAYLOR ST, PHILADELPHIA, PA 19130-2512
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
BG6427644
PA
208VP0000X
Pain Medicine Physician
BG6427644
PA
208VP0014X
Interventional Pain Medicine Physician
BG6427644
PA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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