Paul Richard Sullivan

NPI #1285611046 in Longmont, Colorado

Provider Information

NPI Number: 1285611046
Entity Type: Individual
Name: Paul Richard Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 22, 2005
Last Updated: Mar 6, 2014

Practice Location

Address: 1950 MOUNTAIN VIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80501-3129
Phone: (303) 306-7783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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