C EUGENE SULLIVAN

BOISE, ID
NPI1649453903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: ID  M3232)
Enumeration Date2007-12-10
Last Update Date2007-12-10
Business Address
-- C EUGENE SULLIVAN M.D.
210 W JEFFERSON ST
BOISE, ID 83702-6044
Phone number: 208-344-9424
Mailing Address
-- C EUGENE SULLIVAN M.D.
PO BOX 2066
BOISE, ID 83701-2066
Phone number: 208-344-9424
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