Provider Demographics
NPI:1750621777
Name:GUTIERREZ, CRISTINA ALICIA (DVM)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:ALICIA
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4283 RABBIT MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5553
Mailing Address - Country:US
Mailing Address - Phone:303-469-0203
Mailing Address - Fax:
Practice Address - Street 1:2323 55TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2806
Practice Address - Country:US
Practice Address - Phone:303-442-4030
Practice Address - Fax:303-443-8375
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8068174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian