NPI 1073317780

Xavier Gutierrez

Practitioner Basic Emergency Medical Technician East Peoria, IL

Practice location

Address: 201 W Washington St, East Peoria, IL 61611-2416
Phone: (801) 879-5298

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 061018057 (IL)

Other Emergency Medical Technician, Basic providers in Illinois →

Registry record

NPI: 1073317780
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2025
Record last updated: 2 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.