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Individual

DR. KARL R GUTIERREZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-2948
(505) 287-5372
Mailing address
1010 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-2948
(505) 287-5372

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
79-171
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21162
NM
05
44636
NM
Enumeration date
02/10/2006
Last updated
07/09/2007
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