Brian L Sullivan M.D.

NPI 1053395079 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1053395079
Gender Male
Enumeration Date 12/02/2005
Last Updated 10/25/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
2500 W WILLIAM CANNON DR
STE 401
AUSTIN TX, 78745-5257, US
Phone (512) 451-1969
Fax
Business Location
PO BOX 52194
DEPARTMENT 959
PHOENIX AZ, 85072-2194, US
Phone (512) 451-1969
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Texas
License Number E1946
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According to our database, Brian L Sullivan M.D. NPI is 1053395079, taxonomy code is 207X00000X and license number is E1946, license state is located at Texas. Brian L Sullivan M.D. physically located at 2500 W William Cannon Dr, Austin TX, 78745-5257. NPI Number Brian L Sullivan M.D. has the Individual type.

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1053395079 NPI number is provided on an as is basis without warranty of any kind. 1053395079 is maintained by the National Plan & Provider Enumeration System. The contents of Brian L Sullivan M.D. are for informational purposes only.