Individual
BETHANY CLUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 223-5400
Mailing address
3001 QUAIL RD, ARDMORE, OK 73401-8611
(618) 559-3244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8163
OK
Other
Enumeration date
04/09/2018
Last updated
08/03/2023
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