Individual
JAMES RUSSELL UTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 N FLORENCE AVE, STE 350, CLAREMORE, OK 74017-3179
(918) 343-8574
(918) 343-8575
Mailing address
PO BOX 368, CLAREMORE, OK 74018-0368
(918) 343-8574
(918) 343-8575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
OK
363AS0400X
Surgical Physician Assistant
Primary
—
OK
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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