Individual
DOUGLAS A SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 119 PUALALEA ST, KAHUKU, HI 96731
(808) 293-9231
(808) 293-1511
Mailing address
56 119 PUALALEA ST, KAHUKU, HI 96731
(808) 293-9231
(808) 293-1511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD917702
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07732901
—
HI
Enumeration date
06/20/2006
Last updated
07/08/2007
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