C Eugene Sullivan, M.D. is a specialist in Boise, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. C Eugene Sullivan, M.D. NPI is 1649453903. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
210 W JEFFERSON ST
BOISE, ID
ZIP 83702-044
Phone: (208) 344-9424
Fax: (208) 343-3263
The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/10/2007.