Individual
MARK S SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 S 7TH AVE STE A, BARSTOW, CA 92311-3059
(760) 818-4228
(760) 256-1055
Mailing address
930 W MAIN ST, BARSTOW, CA 92311-2654
(760) 256-1004
(760) 256-1055
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G27354
CA
207Q00000X
Family Medicine Physician
G72354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G723540
—
CA
Enumeration date
07/12/2006
Last updated
12/19/2024
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