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Organization
JOHN P TUTTLE JR MD
Active
Organization
JOHN P TUTTLE JR MD
Active
Other names
Clinic for Urologic Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P TUTTLE JR. MD (PRESIDENT)
(859) 263-1300
Entity
Organization
Contact information
Practice address
160 NORTH EAGLE CREEK, STE 301, LEXINGTON, KY 40509
(859) 263-1300
(859) 263-4395
Mailing address
160 NORTH EAGLE CREEK, STE 301, LEXINGTON, KY 40509
(859) 263-1300
(859) 263-4395
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19237
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64192370
—
KY
Enumeration date
04/17/2007
Last updated
12/27/2011
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