Individual
DR. ERNESTO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 UNION BLVD STE B, SAINT LOUIS, MO 63115-1225
(314) 531-1112
(314) 209-2700
Mailing address
1224 GRAHAM RD, STE 1111, FLORISSANT, MO 63031-8028
(314) 837-3720
(314) 837-3983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001383
NHC HEALTH BENEFIT PLAN
MO
01
—
0400423
UHC
MO
01
—
100380
HEALTHLINK
MO
01
—
100529
BLUE CROSS BLUE SHIELD
MO
01
—
110045661
RAILROAD MEDICARE
MO
01
—
1636V18816
HCUSA
MO
01
—
2107378-003
CIGNA
MO
01
—
2161557
AETNA
MO
01
—
617V4439
GHP
MO
01
—
D04076
EXCLUSIVE CHOICE
MO
Enumeration date
08/11/2005
Last updated
06/16/2023
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