Individual
WILLIAM P DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 HAYES ST, CROSSVILLE, TN 38555-8005
(615) 351-1555
Mailing address
49 CLEVELAND ST STE 230, CROSSVILLE, TN 38555-2854
(931) 459-7012
(931) 510-5702
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD6089
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176490
BLUE CROSS
TN
05
—
3150245
—
TN
01
—
340013306
RR MEDICARE
TN
05
—
64745359
—
KY
Enumeration date
01/17/2006
Last updated
09/06/2023
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