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Individual

GREGORY E SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1710 S 70TH ST, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223
Mailing address
1710 S 70TH ST, PO BOX 6068, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14353
NE
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
14353
NE
207WX0120X
Cornea and External Diseases Specialist Physician
14353
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025619700
NE
05
100367060A
KS
01
1231
BLUE SHIELD
NE
Enumeration date
07/08/2005
Last updated
09/01/2020
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