Individual
DR. EDWARD JOSEPH SUTTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1836 E 15TH ST, TULSA, OK 74104
(918) 744-0110
(918) 744-0288
Mailing address
1836 E 15TH ST, TULSA, OK 74104
(918) 744-0110
(918) 744-0288
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1641
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100253250A
SOONERCARE
—
05
—
100253250A
—
OK
01
—
731115284001
BCBS
—
Enumeration date
11/15/2006
Last updated
04/13/2009
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