Individual
MRS. SUSAN M. ROY CUTTER
Active
Individual
MRS. SUSAN M. ROY CUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1796
SC
363AM0700X
Medical Physician Assistant
Primary
1796
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1450PA
—
SC
01
—
1598968620
NPI
SC
01
—
363AS0400X
TAXONOMY
SC
Enumeration date
06/06/2007
Last updated
10/29/2020
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