Douglas Sullivan, PC

NPI #1609109669 in Renton, Washington

Provider Information

NPI Number: 1609109669
Entity Type: Organization
Organization Name: Douglas Sullivan, PC
Primary Specialty: Chiropractor
Enumeration Date: Sep 9, 2009
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

Authorized Official

Name: DR. DOUGLAS SULLIVAN, D.C.
Title: PRESIDENT
Phone: (206) 683-2995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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