Most Relevant Information
Provider Data
| NPI Number: | 1003313982 |
| Provider Name: | BETHANY CLUTTS DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 8163 |
Most Important Dates
| Enumeration Date: | 04/09/2018 |
| Last Updated: | 08/03/2023 |
Provider Practice Location
1011 14TH AVE NW
ARDMORE
OK
734011828
Practice Location Phone/Fax
| Phone: | 5802235400 |
| Fax: |
Provider Mailing Location
3001 QUAIL RD
ARDMORE
OK
734018611
Provider Mailing Phone/Fax
| Phone: | 6185593244 |
| Fax: |
Suggested EMR
Surgeon EMR