Most Relevant Information
Provider Data
NPI Number: | 1003559683 |
Provider Name: | CHRISTOPHER M GUTIERREZ |
Entity Type: | Individual |
Taxonomy Code: | 163WG0100X |
Specialty: | Registered Nurse |
License Number: | RN292772 |
Most Important Dates
Enumeration Date: | 04/20/2022 |
Last Updated: | 04/20/2022 |
Provider Practice Location
500 W FORT ST
BOISE
ID
837024501
Practice Location Phone/Fax
Phone: | 2084221000 |
Fax: |
Provider Mailing Location
500 W FORT ST
BOISE
ID
837024501
Provider Mailing Phone/Fax
Phone: | |
Fax: |