Individual
DR. GEORGE OLIVER TUTT JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7551
Mailing address
853 NORIKER DR, FORT COLLINS, CO 80524-6069
(970) 493-2184
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23364
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233642
—
CO
Enumeration date
05/08/2006
Last updated
07/08/2007
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