Individual
DR. JASON D SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 15TH ST, STE 400, DENVER, CO 80202-2912
(303) 788-6130
(303) 788-4996
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31997
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01319979
—
CO
Enumeration date
05/05/2006
Last updated
09/11/2008
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