CHARLES L CUTLER, M.D., P.A.
Medical Practice at Addison Ave, Twin Falls, ID

License number
Idaho M3817
Category
Medical Practice
Type
Specialist
Owner
Name: MR. CHARLES LEO CUTLER M.D.
Title: PRES
Phone: (208) 734-0337
Address
Address
630 Addison Ave W STE 220, Twin Falls, ID 83301
National Provider ID: 1407186893
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES L. CUTLER, M.D., PA

Twin Falls, ID

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Charles L Cutler MD PA
Registration:
Dec 7, 1983
Inactive since:
Mar 7, 2013
Addresses:
630 Addison Ave W #220, Twin Falls, ID 83301 (Physical)
PO Box 969, Twin Falls, ID 83303
Business type:
CORPORATION, PROFESSIONAL ASSOCIATION
Vice-Presidents:
Charles L. Cutler (Medical Doctor, President),Jana Brauer Manager, inactive,Carolyn Cutler Vice-President, inactive
Agent:
Charles L Cutler,630 Addison Ave W #220, Twin Falls, ID 83301 (Physical)

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