Provider Demographics
NPI:1992769848
Name:CUTCHALL, SUSAN ROGERS (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ROGERS
Last Name:CUTCHALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 67390
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33736-7390
Mailing Address - Country:US
Mailing Address - Phone:727-344-3313
Mailing Address - Fax:727-344-3313
Practice Address - Street 1:1501 PASADENA AVE S
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-3717
Practice Address - Country:US
Practice Address - Phone:727-341-7777
Practice Address - Fax:727-341-7775
Is Sole Proprietor?:No
Enumeration Date:2006-04-15
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME76101207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine