SULLIVAN MD PLLC NPI 1851531933

NPI Information

SULLIVAN MD PLLC is a mental health (including community mental health center) clinic center in Sierra Vista, AZ. SULLIVAN MD PLLC NPI is 1851531933. The provider is registered as an organization entity type.

The provider's business location address is:

5100 E HWY 90
SUITE B
SIERRA VISTA, AZ
ZIP 85635-443
Phone: (520) 417-9727
Fax: (520) 417-9733

The provider's authorized official is William Robert Sullivan .
The authorized official title is President and has the following contact phone number (520) 417-9729.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 3/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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