# JAMES HENRY SULLIVAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922207984
- **Authorized official:** JAMES HENRY SULLIVAN MD (PRESIDENT)
- **Authorized official phone:** (775) 267-9222

## Contact information

- **Practice address:** 973 MICA DR, SUITE 102, CARSON CITY, NV 89705-7255
- **Practice address phone:** (775) 267-9222
- **Practice address fax:** (775) 267-9225
- **Mailing address:** PO BOX 4100, PORTLAND, OR 97208-4100
- **Mailing address phone:** (503) 372-2740
- **Mailing address fax:** (503) 372-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 05/13/2010