| NPI | 1093069395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T SUTTON Dr 386-274-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |