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NPI Code Detail

MEDICARE: JOHN D. SUTTON, M. D., PC

MEDICARE: JOHN D. SUTTON, M. D., PC
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
1174400000XSpecialist14801OK

General Provider Information

NPI Number : 1902894926
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN D. SUTTON, M. D., PC
Provider Business Mailing Address
First Line : 1810 KANSAS AVE
Second Line :
City : WOODWARD
State : OK
Zip : 73801-2912
Country : US
Telephone Number : 580-256-4466
Fax Number : 580-256-4448
Provider Business Practice Location Address
First Line : 1810 KANSAS AVE
Second Line :
City : WOODWARD
State : OK
Zip : 73801-2912
Country : US
Telephone Number : 580-256-4466
Fax Number : 580-256-4448
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN D SUTTON
Credential : MD
Telephone Number : 580-256-4466
Provider Enumeration Date : 10/12/2005
Last Update Date : 08/22/2020

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