| John D. Sutton, Md. Pllc | |
|
1810 Kansas Ave Woodward OK 73801-2912 | |
| (580) 216-6601 | |
| Not Available |
| Full Name | John D. Sutton, Md. Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1810 Kansas Ave, Woodward, Oklahoma |
| Authorized Official Name and Position | John D Sutton (OWNER) |
| Authorized Official Contact | 5802166601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John D. Sutton, Md. Pllc 5524 State Highway 34c Lot 35 Woodward OK 73801-6181 Ph: (580) 216-6601 | John D. Sutton, Md. Pllc 1810 Kansas Ave Woodward OK 73801-2912 Ph: (580) 216-6601 |
| NPI Number | 1093397887 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 02/12/2022 |
| Medicare PECOS PAC ID | 4981003878 |
|---|---|
| Medicare Enrollment ID | O20210526000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093397887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John D Sutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184739765 PECOS PAC ID: 1254235534 Enrollment ID: I20031120000160 |
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