Individual
BETTY B. SUTLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1983 STATE ROAD 602, GALLUP, NM 87301-7216
(505) 722-7575
(866) 856-0852
Mailing address
1983 STATE ROAD 602, GALLUP, NM 87301-7216
(505) 722-7575
(866) 856-0852
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1382
NM
111N00000X
Chiropractor
5417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0240821
BLUE CROSS BLUE SHIELD
AZ
01
—
AZ0938150
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/16/2007
Last updated
12/30/2011
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