Organization
JOHN A SHUTTA, MD, PA
Active
Other names
Glade Valley Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A SHUTTA MD (PRESIDENT)
(301) 898-5200
Entity
Organization
Contact information
Practice address
15 E FREDERICK ST, WALKERSVILLE, MD 21793-8234
(301) 898-5200
(301) 898-5230
Mailing address
15 E FREDERICK ST, PO BOX 310, WALKERSVILLE, MD 21793-8234
(301) 898-5200
(301) 898-5230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MD
Other
Enumeration date
06/28/2005
Last updated
07/21/2022
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