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Individual
DR. NEIL PATRICK SULLIVAN
Active
Individual
DR. NEIL PATRICK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C39620
CA
207Q00000X
Family Medicine Physician
MD-21441
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C396200
—
CA
01
—
C39620
PHYSICIAN LICENSE
CA
Enumeration date
01/29/2007
Last updated
09/20/2023
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