Individual
DEBRA DOVER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14044 W CAMELBACK RD, SUITE 118, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 547-1899
Mailing address
PO BOX 12143, GLENDALE, AZ 85318-2143
(623) 332-1872
(623) 547-1899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1622
AZ
Other
Enumeration date
02/22/2008
Last updated
06/05/2013
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