CHARLES L SULLIVAN

MISSOULA, MT
NPI1619929635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: MT  12035)
Enumeration Date2006-05-17
Last Update Date2011-06-02
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 SUITE C.
MISSOULA, MT 59808-1811
Phone number: 406-721-4436
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