Individual
DR. SUL ROSS OLEN THORWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 TONGASS DR, SEARHC CLINIC II, SITKA, AK 99835-9416
(907) 966-8611
(907) 996-8627
Mailing address
222 TONGASS DR, SEARHC CLINIC II, SITKA, AK 99835-9416
(907) 966-8611
(907) 996-8627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
36042116
OH
2084P0800X
Psychiatry Physician
Primary
5382
AK
Other
Enumeration date
10/05/2006
Last updated
10/07/2009
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