Individual
DR. PHILIP R. JUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8970 WINTON RD, CINCINNATI, OH 45231-3818
(513) 522-0035
(513) 522-3416
Mailing address
8970 WINTON RD, CINCINNATI, OH 45231-3818
(513) 522-0035
(513) 522-3416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5724 T2638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JU4219911
PTAN
—
Enumeration date
07/11/2007
Last updated
01/11/2013
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