Provider Demographics
NPI:1437377264
Name:HUGH A. NUTT M.D. P.A.
Entity Type:Organization
Organization Name:HUGH A. NUTT M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:A
Authorized Official - Last Name:NUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-352-5144
Mailing Address - Street 1:110 N CLIFTON ST
Mailing Address - Street 2:
Mailing Address - City:FORDYCE
Mailing Address - State:AR
Mailing Address - Zip Code:71742-3025
Mailing Address - Country:US
Mailing Address - Phone:870-352-5144
Mailing Address - Fax:870-352-8498
Practice Address - Street 1:110 N CLIFTON ST
Practice Address - Street 2:
Practice Address - City:FORDYCE
Practice Address - State:AR
Practice Address - Zip Code:71742-3025
Practice Address - Country:US
Practice Address - Phone:870-352-5144
Practice Address - Fax:870-352-8498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty