Individual provider · Type 1 NPI
Michael J. Sullivan, M.S., P.A.-C
Medical Physician Assistant · Las Vegas, NV
NPI number
1821098104
Active
Practice location
112 S Jones Blvd
Las Vegas, NV 89107-2614
Fax (702) 838-7112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA536 (NV) |
Medical Physician Assistant: Definition to come...
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- Brian Callier, PA-CMedical Physician Assistant Las Vegas, NV NPI 1033189170
About NPI 1821098104
Michael J. Sullivan, M.S., P.A.-C's National Provider Identifier is 1821098104, issued on Jul 28, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 30, 2010.