Individual
PRESTON SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 OLYMPIC DR STE 110, GIG HARBOR, WA 98335-1778
(253) 432-3238
(253) 509-0217
Mailing address
5201 OLYMPIC DR STE 110, GIG HARBOR, WA 98335-1778
(253) 432-3238
(253) 509-0217
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00044121
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8404758
—
WA
Enumeration date
12/19/2006
Last updated
02/04/2021
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