Individual
JON-RENE CHRISTOPHER SUFFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2485
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19708A
WY
207L00000X
Anesthesiology Physician
54319
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250394800
—
WY
05
—
285541
—
AZ
Enumeration date
06/03/2013
Last updated
04/17/2026
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