Individual provider · Type 1 NPI

Richard Lee Sullivan, MD

Diagnostic Radiology Physician · Boise, ID

NPI number 1396852349 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Call (208) 422-1350 Map

Fax (208) 422-1332

Mailing address

921 Heartland Dr
Nampa, ID 83686-8157

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XM5112 (ID)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1396852349

Richard Lee Sullivan, MD's National Provider Identifier is 1396852349, issued on Aug 24, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boise, ID. The record was last updated on Jul 21, 2022.