Individual
DR. GARY SUTLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4144
(220) 564-4145
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4144
(220) 564-4145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35071249
OH
207Q00000X
Family Medicine Physician
35071249
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060755
—
OH
Enumeration date
01/18/2006
Last updated
12/15/2022
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