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Organization
SUTTON INTERNAL AND PHYSICAL MEDICINE CLINIC, INC
Active
Organization
SUTTON INTERNAL AND PHYSICAL MEDICINE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BLAINE SUTTON D.O. (PRESIDENT)
(330) 544-1500
Entity
Organization
Contact information
Practice address
1250 YOUNGSTOWN WARREN RD, SUTIE 1A, NILES, OH 44446-4649
(330) 544-1500
(330) 544-7988
Mailing address
1250 YOUNGSTOWN WARREN RD, SUTIE 1A, NILES, OH 44446-4649
(330) 544-1500
(330) 544-7988
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
34-00-7547-S
OH
207R00000X
Internal Medicine Physician
Primary
34-00-7547-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2378323
—
OH
Enumeration date
10/19/2006
Last updated
10/09/2008
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