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Individual

COURTNEY CLUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-8589
(210) 916-5222
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
31302
NE
208D00000X
General Practice Physician
31302
NE

Other

Enumeration date
04/12/2017
Last updated
08/11/2023
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