| Doctor Name: | DR. ROGER CARLISLE SUTTLE JR |
| NPI Number: | 1033413489 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD.3266 |
| Business Practice Address: | 414 S 4th St Gadsden, AL - 359015215 |
| Business Phone Number: | 2565439393 |
| Business Fax Number: | 2565468433 |
| Mailing Address: | 414 S 4th St, GADSDEN |
| State: | AL |
| Postal Code: | 359015215 |
| Phone Number: | 2565439393 |
| Fax Number: | 2565468433 |
| NPI Enumeration Date: | 12/28/2010 |
| NPI Last Update Date: | 12/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | MD.3266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |