| Kent Sutterer Do, Llc | |
|
2700 Mc Clelland Blvd Building B Suite 209 Joplin MO 64804-1623 | |
| (417) 627-9600 | |
| (417) 627-9632 |
| Full Name | Kent Sutterer Do, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2700 Mc Clelland Blvd, Joplin, Missouri |
| Authorized Official Name and Position | Kent Stephen Sutterer (DOCTOR OF OSTEOPATHY) |
| Authorized Official Contact | 4176279600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Sutterer Do, Llc 2700 Mc Clelland Blvd Building B Suite 209 Joplin MO 64804-1623 Ph: (417) 627-9600 | Kent Sutterer Do, Llc 2700 Mc Clelland Blvd Building B Suite 209 Joplin MO 64804-1623 Ph: (417) 627-9600 |
| NPI Number | 1538265962 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538265962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2002015981 (Missouri) | Primary |
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