Organization
DOUGLAS SULLIVAN, PC
Active
Other names
Sullivan Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS SULLIVAN D.C. (PRESIDENT)
(206) 683-2995
Entity
Organization
Contact information
Practice address
304 MAIN AVE S, 203, RENTON, WA 98057-2758
(206) 683-2995
Mailing address
304 MAIN AVE S, 203, RENTON, WA 98057-2758
(206) 683-2995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034393
WA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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