Individual
JAMES NEAL SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
559 VINCENT ST, PETERSON AFB, CO 80914-1540
(719) 556-1060
(719) 556-9677
Mailing address
559 VINCENT ST, 21ST MEDICAL GROUP SGHQ CREDENTIALS, PETERSON AFB, CO 80914-1540
(719) 556-1060
(719) 556-9677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5640
NC
Other
Enumeration date
02/15/2006
Last updated
09/15/2008
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