Organization
MDAS LLC
Active
Other names
MDS Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC D SULLIVAN M.D. (OWNER)
(480) 349-2886
Entity
Organization
Contact information
Practice address
10769 N FRANK LLOYD WRIGHT BLVD, A 120, SCOTTSDALE, AZ 85259-2682
(480) 848-0991
(480) 452-0929
Mailing address
10769 N FRANK LLOYD WRIGHT BLVD, A 120, SCOTTSDALE, AZ 85259-2682
(480) 848-0991
(480) 452-0929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40747
AZ
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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