Individual
JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8318
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 731-8888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
139324
MT
207L00000X
Anesthesiology Physician
R-11926
IA
Other
Enumeration date
06/03/2020
Last updated
06/05/2024
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