DR. Ralph Marc Sutherlin, D.O.

NPI #1245291772 in St Maries, Idaho

Provider Information

NPI Number: 1245291772
Entity Type: Individual
Name: DR. Ralph Marc Sutherlin, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 2, 2006
Last Updated: Jul 30, 2024

Practice Location

Address: 622 W COLLEGE AVE STE 2
City: St Maries
State: Idaho
ZIP Code: 83861-1822
Phone: (208) 568-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine	2083P0500X
Family Medicine	207Q00000X	Primary

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