Individual
WILLIS C SUTLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2905 5TH ST, RAPID CITY, SD 57701-7316
(605) 341-7337
(605) 341-2447
Mailing address
2905 5TH ST, RAPID CITY, SD 57701-7316
(605) 341-7337
(605) 341-2447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2256
SD
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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