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NPI Code Detail

MEDICARE: WILLIAM J DUTTON MD

MEDICARE: WILLIAM J DUTTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine Physician29342TN

General Provider Information

NPI Number : 1003938986
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J DUTTON MD
Provider Business Mailing Address
First Line : 5080 SPECTRUM DRIVE
Second Line : SUITE 1200 WEST TOWER
City : ADDISON
State : TX
Zip : 75001
Country : US
Telephone Number : 800-232-3550
Fax Number :
Provider Business Practice Location Address
First Line : 2410 FRANKLIN PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2227
Country : US
Telephone Number : 615-778-4066
Fax Number : 615-778-9114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 02/17/2009

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