Individual
DANIEL C GUTTERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5169 S COTTONWOOD ST STE 600, MURRAY, UT 84107-6771
(801) 507-3609
Mailing address
5169 S COTTONWOOD ST STE 600, MURRAY, UT 84107-6771
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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