Individual
PATRICK LEWIS SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7180 S REDWATER DR, TUCSON, AZ 85757-6938
(520) 838-4200
Mailing address
7180 S REDWATER DR, TUCSON, AZ 85757-6938
(520) 838-4200
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L14658028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943433561
—
AZ
Enumeration date
10/16/2017
Last updated
10/16/2017
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