Individual
JOHN DWIGHT UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8551 W LAKE MEAD BLVD, STE #230, LAS VEGAS, NV 89128-7642
(702) 243-7333
(702) 243-4800
Mailing address
8551 W LAKE MEAD BLVD, STE #230, LAS VEGAS, NV 89128-7642
(702) 243-7333
(702) 243-4800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9713
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225390001
PTAN
NV
05
—
2102004
—
NV
Enumeration date
08/17/2006
Last updated
01/13/2010
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