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CRAIG S TUTTON MD INC PC NPI 1609980937


NPI Information

NPI: 1609980937
Provider Name: CRAIG S TUTTON MD, INC PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1212 MERRICK DR
ARDMORE, OK
ZIP 73401
Phone: (580) 224-0331
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CRAIG S TUTTON MD, INC PC is a child and adolescent psychiatry psychiatry neurology in Ardmore, OK. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. CRAIG S TUTTON MD, INC PC NPI is 1609980937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1212 MERRICK DR
ARDMORE, OK
ZIP 73401-824
Phone: (580) 224-0331
Fax: (580) 224-0334

The provider's authorized official is Souvannakaysone Tutton .
The authorized official title is Office Manager and has the following contact phone number (580) 224-0331.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry20688OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100726670A/100053740MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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