Sullivan MD Pllc

NPI #1851531933 in Sierra Vista, Arizona

Provider Information

NPI Number
1851531933
Entity Type
Organization
Organization Name
Sullivan MD Pllc
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 2, 2009
Last Updated
Mar 25, 2009

Practice Location

Address
5100 E HWY 90
Address 2
SUITE B
State
Arizona
ZIP Code
85635-2443
Phone
(520) 417-9727

Authorized Official

Name
DR. WILLIAM ROBERT SULLIVAN, MD
Title
PRESIDENT
Phone
(520) 417-9729

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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