Sutphin, Daniel David
Sutphin, Daniel David is an individual health care provider with primary practice located at 2460 S Parkview Loop, Suite 201 , Yuma AZ 85364-5358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Sutphin, Daniel David can be contacted via phone (928) 336-1675.Contact Information
Primary practice address
2460 S Parkview Loop, Suite 201
Yuma AZ 85364-5358
Phone: (928) 336-1675
Fax: (928) 336-1676
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD2012-0616 | New Mexico |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 54960 | Arizona |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 45114 | Tennessee |
Profile Details
NPI number | 1821254517 |
---|---|
LBN Legal business name | Sutphin, Daniel David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2008 |
Last updated | Apr 5th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821254517 | NPPES |
New Mexico | MEDICAID | 77456751 |
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