Individual
STUART DAVID SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 WASHINGTON HWY, MORRISVILLE, VT 05661-8972
(802) 888-8405
(802) 888-8406
Mailing address
555 WASHINGTON HWY, MORRISVILLE, VT 05661-8972
(802) 888-8405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004717
CO
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6700914
—
VT
Enumeration date
03/21/2013
Last updated
01/31/2020
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