Scott Luttrell PA

NPI 1740292242 - Physician Assistant - 363A00000X

NPI Details
NPI 1740292242
Gender Male
Enumeration Date 08/12/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 ALBANY ST
BEECH GROVE IN, 46107-1541, US
Phone (317) 783-8148
Fax
Business Location
PO BOX 7112
DEPT. #31
INDIANAPOLIS IN, 46207-7112, US
Phone (317) 802-3151
Fax (317) 870-0499
Toxanomy
Taxonomy Code 363A00000X
License State Indiana
License Number 10000534
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According to our database, Scott Luttrell PA NPI is 1740292242, taxonomy code is 363A00000X and license number is 10000534, license state is located at Indiana. Scott Luttrell PA physically located at 1600 Albany St, Beech Grove IN, 46107-1541. NPI Number Scott Luttrell PA has the Individual type.

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1740292242 NPI number is provided on an as is basis without warranty of any kind. 1740292242 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Luttrell PA are for informational purposes only.