Individual
DR. JUSTIN D CLUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-7954
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
01058524A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
41865
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100039470
—
KY
Enumeration date
06/21/2005
Last updated
09/11/2024
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