Individual
LELAND SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 331-7000
Mailing address
832 WILLOW ST, RENO, NV 89502-1304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11471
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
11471
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506845
—
NV
Enumeration date
03/21/2006
Last updated
04/21/2010
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