Individual
ELIZABETH ANNE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28165
AZ
2083X0100X
Occupational Medicine Physician
Primary
G40463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
515645
—
AZ
Enumeration date
06/21/2006
Last updated
01/28/2016
Update your record
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