person
Mr. Michael J. Sullivan, MS,PA-C
Medical Physician Assistant in Las Vegas, Nevada
NPI 1821098104

Michael J. Sullivan is a Medical Physician Assistant based in Las Vegas, NV and is specialized in Medical. Michael J. Sullivan practices in Las Vegas, NV and has the professional credentials of MS,PA-C. The NPI Number for Michael J. Sullivan is 1821098104 and holds a License No. PA536 (Nevada).

The current practice location address for Michael J. Sullivan is 112 S Jones Blvd, Las Vegas, NV and can be reached out via phone at 702-838-7110 and via fax at 702-838-7112.

Location: 112 S Jones Blvd, Las Vegas, NV, 89107-2614
person
Provider Profile Details
NPI Number
1821098104
Provider Name
Michael J. Sullivan
Credential
MS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
112 S Jones Blvd, Las Vegas, NV, 89107-2614
Phone Number
702-838-7110
Fax Number
702-838-7112
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
112 S Jones Blvd
City
State
Zip
89107-2614
Phone Number
702-838-7110
Fax Number
702-838-7112
person
Provider Business Mailing Address Details
Address
112 S Jones Blvd
City
State
Zip
89107-2614
Phone Number
702-838-7110
Fax Number
702-838-7112
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA536 (Nevada)
Definition
Definition to come...
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