Dr. Stuart Ronald Sugarman, MD
Specialist in Jackson, WY. Individual provider (NPI-1).
NPI number1407926835
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407926835
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stuart Ronald Sugarman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 5801A | WY | Yes |
Practice location
555 E BroadwaySuite 220
Jackson, WY 83001
Phone 307-734-8800 · Fax 307-734-8900
Mailing address
P O Box 15540Jackson, WY 83002
Phone 307-734-8800 · Fax 307-734-8900
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