RICHARD LEE SULLIVAN

BOISE, ID
NPI1396852349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  M5112)
Enumeration Date2006-08-24
Last Update Date2022-07-21
Business Address
Dr. RICHARD LEE SULLIVAN M.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1350
Mailing Address
Dr. RICHARD LEE SULLIVAN M.D.
921 HEARTLAND DR
NAMPA, ID 83686-8157
Phone number: 208-422-1350
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