C Eugene Sullivan, MD
C Eugene Sullivan, MD is a Specialist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
210 W Jefferson StBoise, ID 83702-6044
Phone: (208) 344-9424
Fax: (208) 343-3263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence M3232 (ID) |
|---|
Record details
| NPI number | 1649453903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | December 10, 2007 |
| Last updated in NPPES | December 10, 2007 |
| Mailing address | Po Box 2066, Boise, ID 83701-2066 |
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