Organization
DONALD L TUTT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L TUTT MD (OWNER)
(405) 692-2118
Entity
Organization
Contact information
Practice address
12207 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73170-4932
(405) 692-2118
(405) 691-6499
Mailing address
PO BOX 892346, OKLAHOMA CITY, OK 73189-2346
(405) 692-2118
(405) 691-6499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8459
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189610B
—
OK
01
—
507367753004
BCBS
OK
Enumeration date
02/20/2007
Last updated
06/18/2008
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