Individual
JULIE B UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4805 E HIGHWAY 37, TUTTLE, OK 73089-8791
(405) 381-9979
(405) 381-9130
Mailing address
4805 E HIGHWAY 37, TUTTLE, OK 73089-8791
(405) 381-9979
(405) 381-9130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1713
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200130350A
—
OK
Enumeration date
02/06/2008
Last updated
05/01/2008
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