Terry Sullivan, MD

NPI #1740585843 in Conifer, Colorado

Provider Information

NPI Number: 1740585843
Entity Type: Individual
Name: Terry Sullivan, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jan 20, 2011
Last Updated: Jan 20, 2011

Practice Location

Address: 11671 BACA RD
City: Conifer
State: Colorado
ZIP Code: 80433-7522
Phone: (720) 331-8553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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