Organization
C WILLIAM LUTTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAM LUTTON M.D. (PRESIDENT)
(918) 683-3702
Entity
Organization
Contact information
Practice address
333 S 38TH ST, SUITE H, MUSKOGEE, OK 74401-4937
(918) 683-3702
(918) 683-3683
Mailing address
333 S 38TH ST, SUITE H, MUSKOGEE, OK 74401-4937
(918) 683-3702
(918) 683-3683
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18384
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094350A
—
OK
Enumeration date
10/24/2006
Last updated
05/24/2012
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