Individual
DR. JOHN R JUTTING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME105020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001219300
—
FL
01
—
1265574800
TRICARE
FL
01
—
145QQ
BCBS
FL
Enumeration date
02/12/2007
Last updated
07/03/2025
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