Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN L. SULLIVAN, MD
ActiveSUSAN L. SULLIVAN, MD is a Dermatology healthcare provider located in PUYALLUP, Washington. NPI 1326126814 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PUYALLUP, WA
Registration Details
- NPI Number
- 1326126814
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.74939883197 yrs)
- Last Updated
- Apr 11, 2012
- Licenses
-
G87622 (CA)MD00027715 (WA)
Practice Information
- Address
-
1703 S MERIDIAN STE 101PUYALLUP, WA, 983717590Browse WA providers · Browse ZIP 98371
- Phone
- 2534463903
- Fax
- 2538406514
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in PUYALLUP, WA
| Name | Credential | NPI |
|---|---|---|
| BRENDA F KODAMA | MD | 1770591679 |
| JULIA E JARVIS | PAC | 1942218847 |
| JESSICA H KIM | MD | 1891703781 |
| BARBARA J FOX | MD | 1164430054 |
| THOMAS KEITH VAUGHAN | MD | 1922017235 |
| ROBERT J MARTIN | M.D. | 1912013814 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.