Organization
SUTTON CHIROPRACTIC AND MASSAGE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F SUTTON DC (PRESIDENT)
(360) 923-5588
Entity
Organization
Contact information
Practice address
1518 BISHOP RD SW, TUMWATER, WA 98512-7354
(360) 923-5588
(360) 915-9815
Mailing address
1518 BISHOP RD SW, TUMWATER, WA 98512-7354
(360) 923-5588
(360) 915-9815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002911
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G11500076
MEDICARE PTAN
WA
Enumeration date
01/05/2007
Last updated
01/23/2015
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