Individual provider · Type 1 NPI

Mario Gutierrez, MD

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1801283635 Active

Practice location

1109 W Main St Apt 505
Peoria, IL 61606-1385

Call (714) 349-5704 Map

Mailing address

13571 Mashona Ave
Chino, CA 91710-8345

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801283635

Mario Gutierrez, MD's National Provider Identifier is 1801283635, issued on Apr 20, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Dec 6, 2021.