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Individual
DR. SUSAN ANN TERRY
Active
Individual
DR. SUSAN ANN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME148480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349259
DMBA
UT
01
—
43988
PEHP
UT
05
—
D1067
—
UT
01
—
PR00027
MOLINA
UT
01
—
QM0000027736
ALTIUS
UT
Enumeration date
07/24/2006
Last updated
10/23/2025
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