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NPI Code Detail

MEDICARE: A KEITH SUTTON M.D.

MEDICARE: A KEITH SUTTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD024316EPA
2207Q00000XFamily Medicine PhysicianMD024316EPA

General Provider Information

NPI Number : 1811993918
Entity Type Code : Individual
Provider Name (Legal Business Name) : A KEITH SUTTON M.D.
Provider Business Mailing Address
First Line : 1225 WARM SPRINGS AVE
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-2350
Country : US
Telephone Number : 814-643-8556
Fax Number : 814-643-8490
Provider Business Practice Location Address
First Line : 1225 WARM SPRINGS AVE
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-2350
Country : US
Telephone Number : 814-643-8556
Fax Number : 814-643-8490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 01/29/2014

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Directions to “ A KEITH SUTTON M.D.” Practice Location

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