Provider Demographics
NPI:1699968420
Name:VUTHI, ARBEN (PA)
Entity type:Individual
Prefix:MR
First Name:ARBEN
Middle Name:
Last Name:VUTHI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIRCLE BLDG 7505
Mailing Address - Street 2:USA MEDDAC, EVANS ACH
Mailing Address - City:FT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-1041
Mailing Address - Country:US
Mailing Address - Phone:719-526-3563
Mailing Address - Fax:
Practice Address - Street 1:1650 COCHRANE CIRCLE BLDG 7505
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80913-0000
Practice Address - Country:US
Practice Address - Phone:719-525-3563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant