Brian W Sullivan, OD

NPI #1184787988 in Olympia, Washington

Provider Information

NPI Number
1184787988
Entity Type
Individual
Name
Brian W Sullivan, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Dec 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
215 LILLY RD NE
ZIP Code
98506-5030
Phone
(360) 456-4800

Specialties & Taxonomy Codes

Specialty
Optometrist

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