Provider Demographics
NPI:1932585643
Name:DUTTON, PAULA
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:DUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:VERDEN
Mailing Address - State:OK
Mailing Address - Zip Code:73092-0423
Mailing Address - Country:US
Mailing Address - Phone:405-243-7681
Mailing Address - Fax:
Practice Address - Street 1:617 REGENCY OAK DR
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-7101
Practice Address - Country:US
Practice Address - Phone:405-243-7681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist