Individual
MARY F. SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 S BRIAN MICKELSEN PKWY, COTTONWOOD, AZ 86326-3610
(928) 634-6828
(928) 639-8179
Mailing address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 442-5495
(866) 812-1253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28738
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502915
—
AZ
05
—
77035
—
NM
Enumeration date
08/05/2006
Last updated
04/18/2016
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