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BLAYNE CUTLER
Infectious Disease >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1053763490
Individual Registrant: BLAYNE CUTLER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
12801 CROSSROADS PKWY S 12801 CROSSROADS PARKWAY, SUTE 200 CITY OF INDUSTRY, CA 91746-3502 US
Tel: 562-222-7896 Fax: --
Tel: 562-222-7896 Fax: --
Contact information for business:
12801 CROSSROADS PKWY S 12801 CROSSROADS PARKWAY, SUTE 200 CITY OF INDUSTRY, CA 91746-3502 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1053763490
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207RI0200X | Allopathic & Osteopathic Physicians Internal Medicine Infectious Disease | CA | C142571 |
| Y | 2083P0901X | Allopathic & Osteopathic Physicians Preventive Medicine | CA | C142571 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
