Individual
STEPHEN CLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-5770
Mailing address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD071172L
PA
Other
Enumeration date
02/07/2006
Last updated
03/25/2021
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