SULLIVAN MD PLLC
Ambulatory Health at Hwy 90, Sierra Vista, AZ

License number
Arizona 22176
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. WILLIAM ROBERT SULLIVAN MD
Title: PRESIDENT
Phone: (520) 417-9729
Address
Address
5100 E Highway 90 SUITE B, Sierra Vista, AZ 85635
National Provider ID: 1851531933
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SULLIVAN MD PLLC at bizstanding.com

SULLIVAN MD, PLLC

Sierra Vista, AZ

Industry:
Medical Doctor's Office
Registration:
Nov 13, 2008
Addresses:
4151 Ln Linda Way #102, Sierra Vista, AZ 85635 (Physical)
5100 E Hwy 90, Sierra Vista, AZ 85635
State ID:
P-1488461-7
Expiration:
PERPETUAL
Nurse Practitioners:
William R Sullivan (Manager, President, Principal, Psychiatry, Medical Doctor), 4151 Ln Linda Way #102, Sierra Vista, AZ 85635 (Physical),Beth B. Sullivan (Office Manager),Kathleen A. Oldfather Nurse Practitioner, inactive
Agent:
William R Sullivan Ii,4151 Ln Linda Way #102, Sierra Vista, AZ 85635 (Physical)

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