NPI 1144372970

Joan Sullivan, MD

Practitioner Contractor Tacoma, WA

Practice location

Address: 9010 Fitzsimmons Ave a Madigan Army Medical Center, Tacoma, WA 98431-0001
Phone: (253) 968-3121
Mailing address: 3115 N Cedar St, Tacoma, WA 98407-6445

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MD00024273 (WA)

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Registry record

NPI: 1144372970
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 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.