Individual
COREY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7230
(360) 493-4180
Mailing address
525 LILLY RD NE # 204, OLYMPIA, WA 98506-5101
(360) 493-4002
(360) 493-5524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML60368625
WA
Other
Enumeration date
05/03/2013
Last updated
04/07/2021
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