Individual
DR. JULIE MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 605-7171
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 605-7171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C138341
CA
207P00000X
Emergency Medicine Physician
C7-0003795
DE
Other
Enumeration date
06/15/2007
Last updated
07/13/2021
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