DR. RICHARD LEE SULLIVAN M.D.
NPI 1396852349
Radiology - Diagnostic Radiology in Boise, ID
- Individual
- Male
- Radiology
- Diagnostic Radiology
About RICHARD SULLIVAN
This page provides the complete NPI Profile along with additional information for Richard Sullivan, a provider established in Boise, Idaho with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1396852349 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0202X with license number M5112 (ID). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1396852349 Verify this NPI
- Provider Name
- DR. RICHARD LEE SULLIVAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 W FORT ST BOISE, ID 83702
- Location Phone
- (208) 422-1350
- Location Fax
- (208) 422-1332
- Mailing Address
- 921 HEARTLAND DR NAMPA, ID 83686
- Mailing Phone
- (208) 422-1350
- Mailing Fax
- (208) 422-1332
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-24-2006
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M5112
- License State
- ID
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396852349, enumerated as an "individual" on August 24, 2006.
The provider is located at 500 W FORT ST BOISE, ID 83702 and the phone number is (208) 422-1350.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
