Organization
JOSHUA P SUTHERLAND JR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA P SUTHERLAND JR. DO (PRESIDENT)
(276) 935-7515
Entity
Organization
Contact information
Practice address
20886 RIVERSIDE DRIVE, GRUNDY, VA 24614
(276) 935-7515
(276) 935-4351
Mailing address
PO BOX 1030, 20886 RIVERSIDE DRIVE, GRUNDY, VA 24614-1030
(276) 935-7515
(276) 935-4351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102035890
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005651689
—
VA
Enumeration date
04/12/2007
Last updated
12/02/2009
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