Provider Demographics
NPI:1760477509
Name:DUTOIT, FRANCOIS J (MD)
Entity Type:Individual
Prefix:
First Name:FRANCOIS
Middle Name:J
Last Name:DUTOIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 W GORE BLVD
Mailing Address - Street 2:STE B6
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-5977
Mailing Address - Country:US
Mailing Address - Phone:580-699-7500
Mailing Address - Fax:580-699-7501
Practice Address - Street 1:4411 W GORE BLVD
Practice Address - Street 2:STE B6
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-5977
Practice Address - Country:US
Practice Address - Phone:580-699-7500
Practice Address - Fax:580-699-7501
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK19010207Q00000X
OK19114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK51873005OtherAETNA
080062422OtherRAILROAD MEDICARE
125307900OtherDOL
OK100226550AMedicaid
OK100226550AMedicaid
OK908363856Medicare ID - Type Unspecified