Organization
JAMES HENRY SULLIVAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HENRY SULLIVAN MD (PRESIDENT)
(775) 267-9222
Entity
Organization
Contact information
Practice address
973 MICA DR, SUITE 102, CARSON CITY, NV 89705-7255
(775) 267-9222
(775) 267-9225
Mailing address
PO BOX 4100, PORTLAND, OR 97208-4100
(503) 372-2740
(503) 372-2755
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/11/2007
Last updated
05/13/2010
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