DR. Douglas E Sullivan, DC

NPI #1104045137 in Renton, Washington

Provider Information

NPI Number: 1104045137
Entity Type: Individual
Name: DR. Douglas E Sullivan, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Apr 25, 2007
Last Updated: Sep 9, 2009

Practice Location

Address: 304 MAIN AVE S
Address 2: 203
City: Renton
State: Washington
ZIP Code: 98057-2758
Phone: (206) 683-2995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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