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Individual

CASEY J SUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2940 E BANNER GATEWAY DR STE 200, GILBERT, AZ 85234-2171
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4963
AZ
363AS0400X
Surgical Physician Assistant
4963
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4963
LICENSE NUMBER
AZ
Enumeration date
09/22/2011
Last updated
09/01/2022
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