Gustavo Huerta MD

NPI 1073516100 - Surgery - 208600000X

NPI Details
NPI 1073516100
Gender Male
Enumeration Date 05/23/2005
Last Updated 02/02/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
704 E COLLEGE ST
DICKSON TN, 37055-2032, US
Phone (615) 441-4504
Fax (615) 446-1357
Business Location
127 CRESTVIEW PARK DR
DICKSON TN, 37055-2855, US
Phone (615) 446-5121
Fax (615) 446-1357
Toxanomy
Taxonomy Code 208600000X
License State Tennessee
License Number MD22062
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According to our database, Dr. Gustavo Huerta MD NPI is 1073516100, taxonomy code is 208600000X and license number is MD22062, license state is located at Tennessee. Gustavo Huerta MD physically located at 704 E College St, Dickson TN, 37055-2032. NPI Number Gustavo Huerta MD has the Individual type.

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1073516100 NPI number is provided on an as is basis without warranty of any kind. 1073516100 is maintained by the National Plan & Provider Enumeration System. The contents of Gustavo Huerta MD are for informational purposes only.