Timothy J Sullivan
Timothy J Sullivan is an Anesthesiology Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
111 W State StBoise, ID 83702-6127
Phone: (208) 336-0895
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Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence M3068 (ID) |
|---|
Record details
| NPI number | 1699710624 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 111 W State St, Boise, ID 83702-6127 |
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