JAMES RUSSELL UTT

CLAREMORE, OK
NPI1730478298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2011-04-05
Last Update Date2011-04-05
Business Address
-- JAMES RUSSELL UTT PA-C
1501 N FLORENCE AVE STE 350
CLAREMORE, OK 74017-3179
Phone number: 918-343-8574
Mailing Address
-- JAMES RUSSELL UTT PA-C
PO BOX 368
CLAREMORE, OK 74018-0368
Phone number: 918-343-8574
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