Deborah Sullivan

NPI 1053740142 · on the registry since 2013

Practice

Address: 415 6th St
Lewiston, ID 83501
Phone: (208) 799-6514
Organisation at this address: Michael Kos Md, Ps
St Joseph Snf Unit
St Joseph Hospital Llc
Valley Anesthesia, P.A.
Phoenix Radiology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 107

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho