Organization
SHAWN M SULLIVAN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MICHAEL SULLIVAN D.O. (PHYSICIAN)
(480) 949-0298
Entity
Organization
Contact information
Practice address
3295 N DRINKWATER BLVD STE 5, SCOTTSDALE, AZ 85251-6437
(480) 949-0298
(480) 949-1258
Mailing address
3295 N DRINKWATER BLVD STE 5, SCOTTSDALE, AZ 85251-6437
(480) 949-0298
(480) 949-1258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3270
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459009
—
AZ
Enumeration date
08/09/2011
Last updated
03/03/2021
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