Organization
SULLIVAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT SULLIVAN MD (PRESIDENT)
(520) 417-9729
Entity
Organization
Contact information
Practice address
5100 E HWY 90, SUITE B, SIERRA VISTA, AZ 85635-2443
(520) 417-9727
(520) 417-9733
Mailing address
5100 E. HWY. 90, SUITE B, SIERRA VISTA, AZ 85635
(520) 417-9727
(520) 417-9733
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
22176
AZ
Other
Enumeration date
03/02/2009
Last updated
03/25/2009
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