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Individual

MR. HAROLD PRATT SUTHERLAND JR JR.

Active
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Individual

MR. HAROLD PRATT SUTHERLAND JR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
159451-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001204600
—
ID
05
—
002084033
—
NV
01
—
107006361101
IHC
UT
05
—
107983200
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
35935
DESERET MUTUAL
UT
01
—
37825
PEHP
UT
01
—
53275
HEALTHY U
UT
05
—
820937
—
AZ
01
—
8597445
UMWA
UT
01
—
870545614SU1
EDUCATORS MUTUAL
UT
01
—
PRA02504
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/04/2006
Last updated
10/15/2012
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