Organization
JESSE O. SUTHERLAND JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE O. SUTHERLAND JR. M.D. (PHYSICIAN/OWNER)
(303) 934-4862
Entity
Organization
Contact information
Practice address
2200 S FEDERAL BLVD, SUITE 4, DENVER, CO 80219-5444
(303) 934-4862
(303) 937-7160
Mailing address
2200 S FEDERAL BLVD, SUITE 4, DENVER, CO 80219-5444
(303) 934-4862
(303) 937-7160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22563
CO
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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