Individual
RYAN MICHAEL DUTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-0004
(559) 998-4800
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
102208092
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2022
Last updated
05/08/2024
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