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Individual

DANIEL C GUTTERIDGE

Active
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Individual

DANIEL C GUTTERIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01072176A
IN
207R00000X
Internal Medicine Physician
4301096972
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01072176A
IN
207RP1001X
Pulmonary Disease Physician
01072176A
IN
207RP1001X
Pulmonary Disease Physician
Primary
11297956-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001027201
ANTHEM PTAN
IN
05
201176800
IN
Enumeration date
07/08/2010
Last updated
03/08/2025
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