Individual
STANLEY J SUFFECOOL
Active
Individual
STANLEY J SUFFECOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12584
AZ
208800000X
Urology Physician
Primary
12584
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205618
—
AZ
Enumeration date
06/01/2005
Last updated
09/10/2014
Update your record
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