Individual
WILLIAM SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 E HIGHWAY 90, SUITE B, SIERRA VISTA, AZ 85635-2443
(520) 417-9729
(520) 417-9733
Mailing address
5100 E HIGHWAY 90, SUITE B, SIERRA VISTA, AZ 85635-2443
(520) 417-9729
(520) 417-9733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 22176
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192774
AHCCCS
AZ
Enumeration date
12/14/2006
Last updated
06/06/2023
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