Search › Arizona › 152W00000X
Matthew Sullivan, OD
NPI 1053311472 · on the registry since 2005
Practice
- Address
- 980 Willow Creek Road
Suite 202
Prescott, AZ 86301 - Phone
- (928) 778-3937
- Fax
- (928) 778-3939
- Organisation at this address
- Isd Renal Inc
Farshid Paydar, Llc
Bruce A Weary Dc Ltd
An Elegant Smile P.C.
Matthew R Sullivan OdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona