Doctor Name: | YOLANDA A GUTIERREZ |
NPI Number: | 1043234461 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 12988 |
Business Practice Address: | 4505 Hospital St Ste C Pascagoula, MS - 395813609 |
Business Phone Number: | 2287629595 |
Business Fax Number: | 2287629494 |
Mailing Address: | Po Box 726, PASCAGOULA |
State: | MS |
Postal Code: | 395680726 |
Phone Number: | 2287629595 |
Fax Number: | 2287629494 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 12988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |