Individual
DR. JEFFREY BLAINE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 YOUNGSTOWN WARREN RD, SUTIE 1A, NILES, OH 44446-4612
(330) 544-1500
(330) 544-7988
Mailing address
1250 YOUNGSTOWN WARREN RD, SUTIE 1A, NILES, OH 44446-4612
(330) 544-1500
(330) 544-7988
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
34-00-7547-S
OH
207R00000X
Internal Medicine Physician
Primary
34-00-7547-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2378323
—
OH
Enumeration date
05/03/2006
Last updated
01/18/2008
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