Individual
CHADD SUKUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Mailing address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125-051629
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036-125576
IL
Other
Enumeration date
05/01/2007
Last updated
02/17/2012
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