Individual
DR. TAYLOR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10099 RIDGEGATE PKWY, LONE TREE, CO 80124-5531
(207) 788-0508
Mailing address
12586 S MANN CREEK CT, PARKER, CO 80134-4852
(936) 718-1716
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TL.0009614
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/14/2021
Last updated
06/13/2023
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