MEDICARE: MARY F. SUTTER MD

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
1	207Q00000X	Family Medicine Physician	28738	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528077781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY F. SUTTER MD

Provider Business Mailing Address
First Line	:	1090 COMMERCE DR
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86305-3700
Country	:	US
Telephone Number	:	928-442-5495
Fax Number	:	866-812-1253

Provider Business Practice Location Address
First Line	:	51 S BRIAN MICKELSEN PKWY
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-3610
Country	:	US
Telephone Number	:	928-634-6828
Fax Number	:	928-639-8179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/18/2016

Similar Medicare Providers

1619460532 — DR. AMBER MARIE BAHM NP
Practice Location Address:

51 S BRIAN MICKELSEN PKWY
COTTONWOOD, AZ
86326-3610

Practice Phone: 928-639-8132
Practice Fax: 866-274-8919

1912919432 — PAUL VERNON BAHLINGER D.D.S.
Practice Location Address:

51 S BRIAN MICKELSEN PKWY
COTTONWOOD, AZ
86326-3610

Practice Phone: 928-639-8132
Practice Fax: 866-274-8919

1053464065 — DR. KATHY J. GREEN M.D., M.P.H.
Practice Location Address:

51 BRIAN MICKELSEN PKWY
COTTONWOOD, AZ
86326-3610

Practice Phone: 928-639-8132
Practice Fax:

1740306307 — COUNTY OF YAVAPAI
Practice Location Address:

51 BRIAN MICKELSEN PARKWAY
COTTONWOOD, AZ
86326-3610

Practice Phone: 928-639-8132
Practice Fax: 866-279-8919

1568894152 — JANNAS ASHLEE HENNINGTON APN
Practice Location Address:

51 BRIAN MICKELSEN PKWY
COTTONWOOD, AZ
86326-3610

Practice Phone: 928-639-8132
Practice Fax:

1336514645 — SAMANTHA JOHNSTON PA-C
Practice Location Address:

51 S BRIAN MICKELSEN PKWY
COTTONWOOD, AZ
86326-3610

Practice Phone: 928-639-8132
Practice Fax: 866-279-8919

Directions to “ MARY F. SUTTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.