Preston Sullivan

NPI 1275696056 - Ophthalmology - 207W00000X

NPI Details
NPI 1275696056
Gender Male
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
215 LILLY RD NE
OLYMPIA WA, 98506, US
Phone (360) 456-4800
Fax (360) 456-4812
Business Location
215 LILLY RD NE
OLYMPIA WA, 98506, US
Phone (360) 456-4800
Fax (360) 456-4812
Toxanomy
Taxonomy Code 207W00000X
License State Washington
License Number MD00044121
Remove 1275696056 NPI Number
 

According to our database, Preston Sullivan NPI is 1275696056, taxonomy code is 207W00000X and license number is MD00044121, license state is located at Washington. Preston Sullivan physically located at 215 Lilly Rd Ne, Olympia WA, 98506. NPI Number Preston Sullivan has the Individual type.

Sponsored links

1275696056 NPI number is provided on an as is basis without warranty of any kind. 1275696056 is maintained by the National Plan & Provider Enumeration System. The contents of Preston Sullivan are for informational purposes only.