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Organization

INTERVENTIONAL SPINE ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT M SUTHERLAND MD (OWNER)
(903) 593-1738
Entity
Organization

Contact information

Practice address
700 OLYMPIC PLAZA CIR STE 404, TYLER, TX 75701-1952
(903) 593-1738
(903) 596-7852
Mailing address
PO BOX 7939, TYLER, TX 75711-7939
(903) 593-1738
(903) 596-7852

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
08/05/2006
Last updated
12/11/2019
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