NPI 1144343245

Donald Richard Sullivan, PHYSICIANASSISTANT

Practitioner Physician Assistant Butte, MT

Practice location

Address: 119140 Rick Jones Way, Butte, MT 59750-9722
Phone: (406) 496-9890
Fax: (406) 496-9794

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence #11 (MT)

Other Physician Assistant providers in Montana →

Registry record

NPI: 1144343245
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.