Cynthia C Sullivan PA

NPI 1033117874 - Physician Assistant - 363A00000X

NPI Details
NPI 1033117874
Gender Female
Enumeration Date 07/13/2005
Last Updated 01/28/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
2720 HOMESTEAD RD
SUITE 100
PARK CITY UT, 84098-4881, US
Phone (435) 940-9400
Fax
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (435) 940-9400
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number 4948359-1206
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According to our database, Cynthia C Sullivan PA NPI is 1033117874, taxonomy code is 363A00000X and license number is 4948359-1206, license state is located at Utah. Cynthia C Sullivan PA physically located at 2720 Homestead Rd, Park City UT, 84098-4881. NPI Number Cynthia C Sullivan PA has the Individual type.

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1033117874 NPI number is provided on an as is basis without warranty of any kind. 1033117874 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia C Sullivan PA are for informational purposes only.