Individual
REBECCA MAE TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 SOUTHERN BLVD STE 201, KETTERING, OH 45429-1265
(855) 500-2873
(937) 522-8989
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
269864
NY
208600000X
Surgery Physician
35-092435
OH
2086X0206X
Surgical Oncology Physician
Primary
35-092435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120622
—
OH
Enumeration date
05/04/2007
Last updated
08/14/2024
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