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Individual

MICHAEL LEWIS TUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
USPHS IHS FEDERAL FACILITY, FORT DEFIANCE HOSPITAL, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20226
AZ

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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