Individual
ROBERT HERDMAN SUDDUTH
Active
Individual
ROBERT HERDMAN SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00025993
WA
207RG0100X
Gastroenterology Physician
Primary
MD00025993
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110162832
RAILROAD MEDICARE
—
01
—
117877
LABOR & INDUSTRIES
WA
01
—
5440589
AETNA
—
05
—
8214132
—
WA
01
—
SU0778
REGENCE BLUESHIELD
—
Enumeration date
06/26/2006
Last updated
03/07/2023
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