Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL J. SULLIVAN, M.S., P.A.-C
ActiveMedical Physician Assistant · LAS VEGAS, NV
Registration Details
- NPI Number
- 1821098104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (20.732113175474 yrs)
- Last Updated
- Sep 30, 2010
- License
-
PA536 (NV)
Practice Information
- Address
-
112 S JONES BLVDLAS VEGAS, NV, 891072614Browse NV providers · Browse ZIP 89107
- Phone
- 7028387110
- Fax
- 7028387112
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MR. FREDERICK BLANCHARD BOWLES | PA-C | 1265435051 |
| MICHAEL SALVATORE FESTENESE | P.A.C. | 1043217581 |
| MR. MICHAEL FRANCIS FISHER | PA | 1629076237 |
| JESSE JAMES HARVEY | P.A. | 1942209119 |
| KEVIN JOSEPH THORN | PA-C | 1407856982 |
| TODD A RADIVAN | PA-C | 1497757181 |
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.