Justin Puttha Tuot

NPI #1770080731 in Banning, California

Provider Information

NPI Number: 1770080731
Entity Type: Individual
Name: Justin Puttha Tuot
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Apr 6, 2018
Last Updated: Jul 29, 2021

Practice Location

Address: 5957 W RAMSEY ST
City: Banning
State: California
ZIP Code: 92220-3058
Phone: (951) 845-0313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

Additional Practice Locations

2145 N Fairfield Rd

Beavercreek, OH, 45431-2580

(937) 702-4031

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