Individual
DR. TODD GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 LASSEN LN, MOUNT SHASTA, CA 96067-9003
(530) 926-5211
(530) 926-5740
Mailing address
635 LASSEN LN, MOUNT SHASTA, CA 96067-9003
(530) 926-5211
(530) 926-5740
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G60880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G608800
BLUE CROSS
CA
05
—
00G608800
—
CA
05
—
1531128
—
TN
Enumeration date
04/03/2006
Last updated
04/03/2024
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