Organization
REUBEN BONTRAGER
Active
Other names
B.T.Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL SUTTON MD. (MEDICAL DIRECTOR)
(850) 482-2264
Entity
Organization
Contact information
Practice address
4439 JACKSON ST STE B, MARIANNA, FL 32448-4660
(850) 482-2264
(850) 482-5270
Mailing address
4439 JACKSON ST STE B, MARIANNA, FL 32448-4660
(850) 482-2264
(850) 482-5270
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
02/25/2008
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