Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 0963 | TX |
NPI | 1386729333 |
---|---|
Provider Name | Dr. Michael Louis Cutolo |
First Address | El Paso, TX 79995-9006 |
Second Address | El Paso, TX 79925-3417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T12878 | (02) | TX |