Individual
DR. DAVID J. TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 BATH STREET, SUITE 113, SANTA BRABARA, CA 93105-4377
(805) 682-7744
(805) 682-3321
Mailing address
DEPT LA 21613, PASADENA, CA 91185-1613
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A 120172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1201720
BS OF CA
CA
05
—
1568502979
—
CA
Enumeration date
02/07/2007
Last updated
11/05/2012
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