National Provider Identifier
Ian C Sutton, PA
Ian C Sutton, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1295398048
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 17, 2019
- Last Updated
- October 01, 2019
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850
Phone: (607) 274-4011
Mailing Address
- 200 Corporate Blvd
- Lafayette, LA 70508-3870
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1295398048
- Entity Type
- Individual
- Last Name
- Sutton
- First Name
- Ian
- Middle Name
- C
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 200 Corporate Blvd
- Mailing City
- Lafayette
- Mailing State
- LA
- Mailing ZIP Code
- 70508-3870
- Mailing Country
- US
- Mailing Phone
- (800) 893-9698
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- April 17, 2019
- Last Updated
- October 01, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)