Sutton, Mark S
Sutton, Mark S is an individual health care provider with primary practice located at 121 S 7Th Ave Ste A , Barstow CA 92311-3059. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Sutton, Mark S can be contacted via phone (760) 818-4228.Contact Information
Primary practice address
121 S 7Th Ave Ste A
Barstow CA 92311-3059
Phone: (760) 818-4228
Fax: (760) 256-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G27354 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G72354 | California |
Profile Details
| NPI number | 1003841248 |
|---|---|
| LBN Legal business name | Sutton, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Dec 19th, 2024 - about 2 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 | 1003841248 | NPPES |
| California | MEDICAID | 00G723540 |
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