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Individual

CHIVON SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Mailing address
1000 DUNHAM DR, DUNMORE, PA 18512-2666

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MA060789
PA
363AM0700X
Medical Physician Assistant
Primary
MA060789
PA

Other

Enumeration date
07/18/2019
Last updated
05/04/2022
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