Individual
JAMES A SULLIVAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
974 E 2100 S APT 427, SALT LAKE CITY, UT 84106-4535
(630) 336-0907
Mailing address
974 E 2100 S APT 427, SALT LAKE CITY, UT 84106-4535
(630) 336-0907
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
02/19/2026
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