Individual
MRS. JENNIFER SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1155 MILL ST, RAD ONC ASSOC #18, RENO, NV 89502-1576
(775) 982-4000
(775) 982-5639
Mailing address
780 KUENZLI ST STE 202, RENO, NV 89502-0837
(775) 982-4590
(775) 982-4595
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
6598
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016521
—
NV
01
—
11176901
CAQH
—
05
—
1558332254
—
NV
01
—
P01379030
RR MEDICARE PIN
NV
Enumeration date
01/30/2006
Last updated
12/30/2014
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