Debra Dover Sullivan in Litchfield Park - Physician Assistant
Debra Dover Sullivan - NPI 1205005311
Debra Dover Sullivan is a Physician Assistant in Litchfield Park, Arizona. Debra Dover Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Debra Dover Sullivan is 1205005311. The last update date is 2013-06-05.
Debra Dover Sullivan's current location address is 14044 W Camelback Rd, Litchfield Park, Arizona. You can contact this provider via phone number 6235472600 and fax number 6235471899. The mailing address for Debra Dover Sullivan is 14044 W Camelback Rd, Litchfield Park, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Dover Sullivan |
|---|---|
| Address | 14044 W Camelback Rd, Litchfield Park, Arizona |
| Phone Number | 6235472600 |
| Fax Number | 6235471899 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1205005311 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2013-06-05 |
Provider Mailing Address Detail
| Address | 14044 W Camelback Rd |
|---|---|
| City | Litchfield Park |
| State | Arizona (AZ) |
| Post Code | 853409428 |
| Phone Number | 6235472600 |
| Fax Number | 6235471899 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1622 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Debra Dover Sullivan's 1205005311?
The Debra Dover Sullivan's NPI (National Provider Identifier) Number is 1205005311. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Debra Dover Sullivan's facilities are situated?
The facilities of Debra Dover Sullivan are physically located at the following address: 14044 W Camelback Rd, Litchfield Park, AZ, 853409428.
What is the Debra Dover Sullivan's area of specialization and corresponding taxonomy classification?
The Debra Dover Sullivan's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Debra Dover Sullivan receive its 1205005311 assignment from the Centers for Medicare & Medicaid Services?
The Debra Dover Sullivan was assigned its 1205005311 by the Centers for Medicare & Medicaid Services on 2008-02-22.
When was the Debra Dover Sullivan's information last updated?
The Debra Dover Sullivan's information was last updated on 2013-06-05.
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