Individual
MICHAEL CHARLES TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20 WEST ST, FERNLEY, NV 89408-9799
(775) 575-6655
Mailing address
4345 N PINAL ST, KINGMAN, AZ 86409-2660
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PENDING
NV
Other
Enumeration date
06/02/2018
Last updated
06/02/2018
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