Individual
SHEA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5201
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A175383
CA
Other
Enumeration date
04/03/2018
Last updated
05/10/2024
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