CHARLES L SULLIVAN

MISSOULA, MT
NPI1619929635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: MT  MED-PHYS-LIC-12035)
Enumeration Date2006-05-17
Last Update Date2026-09-06
Business Address
CHARLES L SULLIVAN MD
2360 MULLAN RD SUITE C.
MISSOULA, MT 59808-1811
Phone number: 406-721-4436
Mailing Address
CHARLES L SULLIVAN MD
2360 MULLAN RD STE C
MISSOULA, MT 59808-1811
Phone number: 406-721-4436