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Organization
DR-DO-OMM LLC
Active
Organization
DR-DO-OMM LLC
Active
Other names
Renegade Osteopathy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C SULLIVAN DO (PHYSICIAN/ OWNER)
(603) 341-9144
Entity
Organization
Contact information
Practice address
292 ROUTE 101 UNIT F-1, AMHERST, NH 03031-1730
(603) 341-9144
(949) 864-3717
Mailing address
17 NEW SOUTH DR, AMHERST, NH 03031-1606
(603) 759-1575
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
03/14/2026
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