Individual
PAUL B NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-2700
Mailing address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-2700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00021194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1130525
—
WA
01
—
135919
LABOR & INDUSTRIES
WA
01
—
6740NU
REGENCE
WA
Enumeration date
05/16/2006
Last updated
03/02/2016
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