Individual
ABBY RUTH SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 587-4238
(785) 565-4703
Mailing address
411 OAK STREET, STERLING MEDICAL ATTN: RYAN TIBBS, CINCINNATI, OH 45219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01202
KS
363AM0700X
Medical Physician Assistant
10000904A
IN
363AM0700X
Medical Physician Assistant
1860
OK
Other
Enumeration date
11/07/2006
Last updated
01/20/2010
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