Jason Patrick Sullivan M.D.

NPI 1669638219 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1669638219
Gender Male
Enumeration Date 08/04/2008
Last Updated 12/09/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
6001 WESTOWN PKWY
WEST DES MOINES IA, 50266-7702, US
Phone (515) 480-0250
Fax
Business Location
13795 LAKE SHORE DR
CLIVE IA, 50325-8836, US
Phone (515) 480-0250
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Illinois
License Number 125053621
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According to our database, Dr. Jason Patrick Sullivan M.D. NPI is 1669638219, taxonomy code is 207X00000X and license number is 125053621, license state is located at Illinois. Jason Patrick Sullivan M.D. physically located at 6001 Westown Pkwy, West Des Moines IA, 50266-7702. NPI Number Jason Patrick Sullivan M.D. has the Individual type.

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1669638219 NPI number is provided on an as is basis without warranty of any kind. 1669638219 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Patrick Sullivan M.D. are for informational purposes only.