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Individual
LIAM O'SULLIVAN
Active
Individual
LIAM O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60546517
WA
207P00000X
Emergency Medicine Physician
R73282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639431133
—
WA
01
—
P01520092
RR PTAN WVH
WA
01
—
P01520098
RR PTAN CWH
WA
Enumeration date
06/11/2012
Last updated
11/03/2015
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