Individual
DR. KENT STEVEN SUTTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9 ST ANTHONY DRIVE, ST. PETERS, MO 63376
(636) 272-0008
(636) 272-8080
Mailing address
9 ST ANTHONY DRIVE, ST. PETERS, MO 63376
(636) 272-0008
(636) 272-8080
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2002015981
MO
207Q00000X
Family Medicine Physician
Primary
2002015981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114964514
—
MO
Enumeration date
06/02/2006
Last updated
12/30/2011
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