Individual
MARC D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16838 E PALISADES BLVD, SUITE C153, FOUNTAIN HILLS, AZ 85268-3845
(480) 816-3131
(480) 816-3136
Mailing address
16838 E PALISADES, SUITE C153, FOUNTAIN HILLS, AZ 85268
(480) 816-3131
(480) 816-3136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40747
AZ
Other
Enumeration date
05/30/2007
Last updated
01/30/2009
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