Individual
DR. JOHN JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 2ND ST, #300, EUREKA, CA 95501-5107
(707) 445-0893
(707) 444-2563
Mailing address
688 VILLA WAY, ARCATA, CA 95521-5400
(707) 822-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G37184
CA
Other
Enumeration date
11/03/2006
Last updated
12/31/2013
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