# CHARLES W NUTTING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063459691
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 05-36637 | KS | — |
| 2085R0202X | Diagnostic Radiology Physician | 663 | NE | — |
| 2085R0202X | Diagnostic Radiology Physician | DOS1589 | HI | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 141398 | MT | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | DR.0039981 | CO | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 03/03/2025