Individual
MS. STACEY TILLMAN SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
BLD 681, 1ST FLOOR, SCHOFIELD BARRACKS, HI 96857
(808) 433-8475
Mailing address
USARMY HEALTH CLINICS SCHOFIELD BARRACKS, BLD 683, ATTN: FNS BLD 681, RM 126, SCHOFIELD BARRACKS, HI 96857
(808) 433-8475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
03/07/2019
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