Provider Demographics
NPI:1972502359
Name:SUTTON, STEPHEN LLOYD (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LLOYD
Last Name:SUTTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3361
Mailing Address - Country:US
Mailing Address - Phone:918-488-6045
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:10507 E 91ST ST STE 510
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133
Practice Address - Country:US
Practice Address - Phone:918-307-5525
Practice Address - Fax:918-307-5526
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2018-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK2401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100745960AMedicaid
OK100118990AMedicaid
OK100745960AMedicaid