Individual
DR. ANGELA MARIE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
390 OFFICE CT, FAIRVIEW HEIGHTS, IL 62208-2059
(618) 233-7666
Mailing address
390 OFFICE CT, FAIRVIEW HEIGHTS, IL 62208-2059
(618) 233-7666
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.145269
IL
207N00000X
Dermatology Physician
2018027246
MO
207ND0900X
Dermatopathology Physician
036.145269
IL
207ND0900X
Dermatopathology Physician
2018027246
MO
Other
Enumeration date
03/27/2013
Last updated
03/15/2021
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