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Individual
DOUGLAS R TUTTLE
Active
Individual
DOUGLAS R TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C36026
CA
207P00000X
Emergency Medicine Physician
Primary
MD00047788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C360260
—
CA
01
—
0302695
L&I AND CRIME VICTIMS
WA
Enumeration date
10/25/2006
Last updated
01/28/2013
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