Provider Demographics
NPI:1326037110
Name:CUTLER, MICHAEL ERNEST (PA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ERNEST
Last Name:CUTLER
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Gender:M
Credentials:PA
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Mailing Address - Street 1:175 N 100 W
Mailing Address - Street 2:104
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2049
Mailing Address - Country:US
Mailing Address - Phone:435-781-3053
Mailing Address - Fax:435-781-3055
Practice Address - Street 1:175 N 100 W
Practice Address - Street 2:104
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2049
Practice Address - Country:US
Practice Address - Phone:435-781-3053
Practice Address - Fax:435-781-3055
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2012-02-02
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Provider Licenses
StateLicense IDTaxonomies
AZ1041050363A00000X
UT7882429-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant