Individual
WILLIAM NOLAN LUTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8132
(850) 883-8133
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2007-00775
NC
207P00000X
Emergency Medicine Physician
ME104017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001467600
—
FL
Enumeration date
05/04/2007
Last updated
11/09/2009
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