Individual
NICHOLAS JAMES SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3975
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2013-0208
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS20070437
TRAINING
NM
Enumeration date
06/22/2007
Last updated
05/25/2016
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