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Individual

MR. HAROLD PRATT SUTHERLAND JR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8TH AVENUE AND C STREET, LSC HOSPITAL, SALT LAKE CITY, UT 84143
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
159451-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001204600
ID
05
002084033
NV
01
107006361101
IHC
UT
05
107983200
WY
01
1502954
UMWA
UT
01
2090168
UNITED HEALTHCARE
UT
01
35935
DESERET MUTUAL
UT
01
37825
PEHP
UT
01
53275
HEALTHY U
UT
05
820937
AZ
01
8597445
UMWA
UT
01
870545614SU1
EDUCATORS MUTUAL
UT
01
PRA02504
MOLINA
UT
01
QM0000075886
ALTIUS
UT
Enumeration date
10/04/2006
Last updated
10/15/2012
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