Individual
PHILIP ANDREW UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 LINE AVENUE, STE 200, SHREVEPORT, LA 71101
(318) 629-5555
(318) 629-5556
Mailing address
1500 LINE AVENUE, STE 200, SHREVEPORT, LA 71101
(318) 629-5555
(318) 629-5556
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
202784
LA
207T00000X
Neurological Surgery Physician
Primary
44123
MN
207T00000X
Neurological Surgery Physician
91820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200821100
—
MN
Enumeration date
02/02/2006
Last updated
09/01/2009
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