Individual
FRED K UTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1019 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7702
(573) 472-7719
Mailing address
1019 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7702
(573) 472-7719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102137
MO
Other
Enumeration date
09/13/2005
Last updated
03/15/2021
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