Dr. Creighton E Shute, D.O.
Family Medicine in Lafayette, LA. Individual provider (NPI-1).
NPI number1073742425
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1073742425
- Entity type
- Individual (NPI-1)
- Name
- Dr. Creighton E Shute
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2009
- Last updated
- Sep 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO.000309 | LA | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | DO.000309 | LA | |
| 207P00000X | Emergency Medicine | DO.000309 | LA | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | DO.000309 | LA |
Practice location
5750 Johnston St Ste 101Lafayette, LA 70503-5334
Phone 337-703-0703 · Fax 337-703-0704
Mailing address
5750 Johnston St Ste 101Lafayette, LA 70503-5334
Phone 337-703-0703 · Fax 337-703-0704
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