| Doctor Name: | DR. PATRICIA SUSANA SULLIVAN |
| NPI Number: | 1861455222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD MPH |
| License Number: | 15987 |
| Business Practice Address: | 14251 N 6th Pl Phoenix, AZ - 850224224 |
| Business Phone Number: | 6028267134 |
| Business Fax Number: | 4802699462 |
| Mailing Address: | 14251 N 6th Pl, PHOENIX |
| State: | AZ |
| Postal Code: | 850224224 |
| Phone Number: | 6028829486 |
| Fax Number: | 4802699462 |
| NPI Enumeration Date: | 04/07/2006 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15987 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |