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Individual

SETH J. SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(979) 207-4000
(979) 207-4562
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50163
MN
207RI0200X
Infectious Disease Physician
Primary
N8995
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
478630100
MN
Enumeration date
11/18/2005
Last updated
11/06/2020
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