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Individual

FRANCOIS J DUTOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4411 W GORE BLVD, STE B6, LAWTON, OK 73505-5977
(580) 699-7500
(580) 699-7501
Mailing address
4411 W GORE BLVD, STE B6, LAWTON, OK 73505-5977
(580) 699-7500
(580) 699-7501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19010
OK
207Q00000X
Family Medicine Physician
Primary
19114
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080062422
RAILROAD MEDICARE
05
100226550A
OK
01
125307900
DOL
01
51873005
AETNA
OK
Enumeration date
09/19/2005
Last updated
04/03/2012
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