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DONALD WAYNE DUTTON M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1285929513
Individual Registrant: DONALD WAYNE DUTTON M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
23400 US HIGHWAY 160 WALSENBURG, CO 81089-8100 US
Tel: 719-738-4590 Fax: --
Tel: 719-738-4590 Fax: --
Contact information for business:
23500 US HIGHWAY 160 WALSENBURG, CO 81089-9524 US
Tel: 719-738-4590 Fax: 719-738-4553
Tel: 719-738-4590 Fax: 719-738-4553
Registration Information:
NPI: 1285929513
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CO | 53083 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
