Individual provider · NPI-1

Michael Larry Cutler, M.D.

Family Medicine, Adult Medicine · Poway, CA

NPI number1871620518
StatusActive
Last updated in NPPESMar 21, 2016

Details

NPI
1871620518
Entity type
Individual (NPI-1)
Name
Michael Larry Cutler
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 28, 2007
Last updated
Mar 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult MedicineA51232CAYes

Practice location

12285 Scripps Poway Pkwy
Suite 103
Poway, CA 92064-6149

Phone 760-622-2773

Mailing address

Po Box 17280
Suite 103
Belfast, ME 04915-4067

Phone 760-622-2773

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