Individual
JAMES E SULLIVAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4776
Mailing address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4776
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1097
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11299872
CAQH
NV
Enumeration date
08/29/2006
Last updated
04/11/2024
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