Individual
DR. JOHN P TUTTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 N EAGLE CREEK, STE 301, LEXINGTON, KY 40509
(859) 263-1300
(859) 263-4395
Mailing address
160 N EAGLE CREEK, STE 301, LEXINGTON, KY 40509
(859) 263-1300
(859) 263-4395
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19237
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047525
BCBS
KY
01
—
106698
UMWA
KY
05
—
64192370
—
KY
Enumeration date
11/23/2005
Last updated
07/08/2007
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