Organization
STEPHEN P SUTTON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P SUTTON MD (PRESIDENT)
(419) 698-2020
Entity
Organization
Contact information
Practice address
1050 ISAAC STREETS DR, SUITE 126, OREGON, OH 43616-3291
(419) 698-2020
(419) 698-1520
Mailing address
1050 ISAAC STREETS DR, SUITE 126, OREGON, OH 43616-3291
(419) 698-2020
(419) 698-1520
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35043749S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00555
PARAMOUNT
OH
05
—
0419176
—
OH
01
—
30037121200
HMO
OH
Enumeration date
09/27/2005
Last updated
10/30/2007
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