Dominic Fredrick Tutera M.D.

NPI 1104053180 - Emergency Medicine - 207P00000X

NPI Details
NPI 1104053180
Gender Male
Enumeration Date 06/17/2009
Last Updated 03/09/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
979 E 3RD ST
SUITE C-735
CHATTANOOGA TN, 37403-2136, US
Phone (423) 778-9101
Fax (423) 778-9190
Business Location
975 E 3RD ST
ATTN: PROVIDER ENROLLMENT
CHATTANOOGA TN, 37403-2147, US
Phone (423) 778-3110
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number A118952
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According to our database, Dominic Fredrick Tutera M.D. NPI is 1104053180, taxonomy code is 207P00000X and license number is A118952, license state is located at California. Dominic Fredrick Tutera M.D. physically located at 979 E 3rd St, Chattanooga TN, 37403-2136. NPI Number Dominic Fredrick Tutera M.D. has the Individual type.

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1104053180 NPI number is provided on an as is basis without warranty of any kind. 1104053180 is maintained by the National Plan & Provider Enumeration System. The contents of Dominic Fredrick Tutera M.D. are for informational purposes only.