Search › Idaho › 174400000X
C Sullivan, M.D
NPI 1649453903 · on the registry since 2007 · sole proprietor
Practice
- Address
- 210 W Jefferson St
Boise, ID 83702 - Phone
- (208) 344-9424
- Fax
- (208) 343-3263
- Organisation at this address
- Mountain States Oncology Group
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-12-10
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 Idaho