Individual
PAUL T SUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10225 S HARBOR AVE STE 5, MOHAVE VALLEY, AZ 86440-9699
(928) 361-9991
(287) 046-0679
Mailing address
2917 CAMINO DEL RIO, BULLHEAD CITY, AZ 86442-7824
(928) 542-9103
(928) 704-6067
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
21975
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145773 001
—
AZ
Enumeration date
10/21/2005
Last updated
05/29/2024
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