Individual
DR. CREIGHTON E SHUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5750 JOHNSTON ST STE 101, LAFAYETTE, LA 70503-5334
(337) 703-0703
(337) 703-0704
Mailing address
5750 JOHNSTON ST STE 101, LAFAYETTE, LA 70503-5334
(337) 703-0703
(337) 703-0704
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO.000309
LA
207P00000X
Emergency Medicine Physician
DO.000309
LA
207Q00000X
Family Medicine Physician
Primary
DO.000309
LA
207QS0010X
Sports Medicine (Family Medicine) Physician
DO.000309
LA
Other
Enumeration date
07/07/2009
Last updated
09/09/2019
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