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NPI Code Detail

MEDICARE: DAMION PAUL SUTHERLAND

MEDICARE: DAMION PAUL SUTHERLAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1639901143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMION PAUL SUTHERLAND
Provider Business Mailing Address
First Line : 1501 N CAMPELL AVE
Second Line : ROOM 5304D
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-626-9540
Fax Number : 520-626-2247
Provider Business Practice Location Address
First Line : 1501 N CAMPELL AVE
Second Line : ROOM 5304D
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 520-626-9540
Fax Number : 520-626-2247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2024
Last Update Date : 04/09/2026

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Directions to “ DAMION PAUL SUTHERLAND ” Practice Location

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