Provider Demographics
NPI:1063446219
Name:CUTCHEN, ROBERT G (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:G
Last Name:CUTCHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6121 THUNDERBIRD CIR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2163
Mailing Address - Country:US
Mailing Address - Phone:505-848-8346
Mailing Address - Fax:505-848-8345
Practice Address - Street 1:5110 MASTHEAD ST. NE SUITE 100
Practice Address - Street 2:SUITE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4412
Practice Address - Country:US
Practice Address - Phone:505-848-8346
Practice Address - Fax:505-848-8345
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPS2005-0798208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery