Individual
MR. JOHN BRIAN DUTEAU
Active
Individual
MR. JOHN BRIAN DUTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
10869
GA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/20/2021
Last updated
12/15/2025
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