Individual
MR. DAVID B UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 COWAN RD, GULFPORT, MS 39507-2019
(228) 896-1120
(228) 896-1332
Mailing address
PO BOX 789, OCEAN SPRINGS, MS 39566-0789
(228) 872-9388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15753
MS
Other
Enumeration date
06/24/2006
Last updated
03/30/2018
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