Individual
TERRY F SUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49304
CO
207Q00000X
Family Medicine Physician
Primary
C6677
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109686001
—
AR
05
—
24202355
—
CO
01
—
55127
BLUE CROSS AR
AR
Enumeration date
06/16/2005
Last updated
01/10/2017
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