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Individual

ARTHUR FRANCIS SULLIVAN IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3450
Mailing address
PO BOX 24584, SEATTLE, WA 98124
(425) 656-4255

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60131822
WA
207P00000X
Emergency Medicine Physician
RS2007-0308
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RS2007-0308
TRAINING
NM
Enumeration date
06/22/2007
Last updated
07/08/2010
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