JACK SULLIVAN

SEATTLE, WA
NPI1174325211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-27
Last Update Date2025-03-27
Business Address
-- JACK SULLIVAN MD
550 16TH AVE STE 100
SEATTLE, WA 98122-5636
Phone number: 120-632-0248
Mailing Address
-- JACK SULLIVAN MD
550 16TH AVE STE 400
SEATTLE, WA 98122-5636
Phone number: