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Jesse O. Sutherland Jr., M.D.

Internal Medicine in Denver, CO. Organization (NPI-2).

NPI number1982159166
StatusActive
Last updated in NPPESAug 17, 2016

Details

NPI
1982159166
Entity type
Organization (NPI-2)
Legal business name
Jesse O. Sutherland Jr., M.D.
Organization subpart
No
Enumeration date
Aug 17, 2016
Last updated
Aug 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine22563COYes

Practice location

2200 S Federal Blvd
Suite 4
Denver, CO 80219-5444

Phone 303-934-4862 · Fax 303-937-7160

Mailing address

2200 S Federal Blvd
Suite 4
Denver, CO 80219-5444

Phone 303-934-4862 · Fax 303-937-7160

Authorized official

Jesse O. Sutherland
Physician/Owner
3039344862

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