Individual
JACOB JOSIAH SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401
(918) 577-3509
Mailing address
3613 S YORKTOWN PL, TULSA, OK 74105-3451
(918) 706-1324
(918) 706-1324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5446
OK
Other
Enumeration date
05/30/2012
Last updated
07/22/2018
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