Individual provider · Type 1 NPI

Ian Robert O'Sullivan, MD, PhD

Student in an Organized Health Care Education/Training Program · Sonora, CA

NPI number 1083473300 Active

Practice location

193 Fairview Ln
Sonora, CA 95370-4828

Call (209) 536-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083473300

Ian Robert O'Sullivan, MD, PhD's National Provider Identifier is 1083473300, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sonora, CA. The record was last updated on Mar 18, 2024.