Individual
DR. LARRY W SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1805 S SR 57, WASHINGTON, IN 47501-4326
(812) 254-7845
(812) 254-8857
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7845
(812) 254-5989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000094089
ANTHEM
IN
05
—
100175850
—
IN
Enumeration date
03/09/2006
Last updated
06/23/2023
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