Individual
MATHILDE M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8990 WASHINGTON ST, THORNTON, CO 80229-4537
(720) 929-1655
(720) 565-4129
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-3397
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0004316
CO
Other
Enumeration date
07/27/2015
Last updated
05/18/2021
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