Individual
DR. WALTER GERARD SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 STONEWOOD CT, LAS VEGAS, NV 89107-3250
(702) 493-3049
Mailing address
204 STONEWOOD CT, LAS VEGAS, NV 89107-3250
(702) 493-3049
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4430
HI
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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