Individual
VIKKI L SUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4200 JENNY LIND RD, STE B, FORT SMITH, AR 72901-7660
(479) 709-7245
(479) 709-7249
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1677
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081350A
—
OK
05
—
137635001
—
AR
Enumeration date
10/06/2005
Last updated
08/29/2011
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