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NPI Profile for JOHN A SULLIVAN in JACKSON, WY.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology |
| NPI # | 1013985134 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 03/14/2006 | |
| Last updated | 09/10/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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JOHN A SULLIVAN
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JOHN A SULLIVAN, MD