Charles D Sullivan, MD

NPI #1033163381 in Sequim, Washington

Provider Information

NPI Number: 1033163381
Entity Type: Individual
Name: Charles D Sullivan, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 20, 2006
Last Updated: Aug 6, 2012

Practice Location

Address: 840 N 5TH AVE
Address 2: STE 2100
City: Sequim
State: Washington
ZIP Code: 98382-3045
Phone: (360) 582-2850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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