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Timothy Sullivan, P.A

NPI 1619152915 · on the registry since 2008 · sole proprietor

Practice

Address
9951 E El Moro Ave
Mesa, AZ 85208
Phone
(602) 570-6428

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-11-05

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