Individual
KIRIT D SUTARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 778-4760
Mailing address
1894 BOGEY LN, JACKSON, MO 63755-2308
(573) 243-5245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
117687
MO
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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