Individual
BRIAN RAY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
222 W PUEBLO ST, SANTA BARBARA, CA 93105-3805
(805) 563-0363
Mailing address
222 W PUEBLO ST, SANTA BARBARA, CA 93105-3805
(805) 861-6913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65208
CA
Other
Enumeration date
05/22/2023
Last updated
01/22/2025
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