Individual
DR. JARED ALLAN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HOSPITAL ROAD, EMERGENCY DEPARTMENT, FORT GORDON, GA 30905-5650
(605) 520-1755
Mailing address
353 FAIRMONT BLVD, INTENSIVE CARE UNIT, RAPID CITY, SD 57701
(605) 520-1755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27102
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
10182
SD
Other
Enumeration date
05/18/2011
Last updated
03/24/2022
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