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1053395079
BRIAN L SULLIVAN
AUSTIN, TX
NPI
1053395079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TX E1946)
Enumeration Date
2005-12-02
Last Update Date
2010-10-25
Business Address
-- BRIAN L SULLIVAN M.D.
2500 W WILLIAM CANNON DR STE 401
AUSTIN, TX 78745-5257
Phone number: 512-451-1969
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Mailing Address
-- BRIAN L SULLIVAN M.D.
PO BOX 52194 DEPARTMENT 959
PHOENIX, AZ 85072-2194
Phone number: 512-451-1969
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