TIMOTHY J SULLIVAN

BOISE, ID
NPI1699710624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  M3068)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
-- TIMOTHY J SULLIVAN
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
Mailing Address
-- TIMOTHY J SULLIVAN
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
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