Provider Demographics
NPI:1396853750
Name:CUTLER, DARRON PAUL (DO)
Entity Type:Individual
Prefix:MR
First Name:DARRON
Middle Name:PAUL
Last Name:CUTLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4719 ANSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9039
Mailing Address - Country:US
Mailing Address - Phone:319-230-4959
Mailing Address - Fax:319-449-3048
Practice Address - Street 1:4719 ANSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9039
Practice Address - Country:US
Practice Address - Phone:319-230-4959
Practice Address - Fax:319-449-3048
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2024-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA03057207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA4097667Medicaid
IA27583OtherBC/BS OF IOWA
IAI7240Medicare PIN