John A. Sullivan, M.D.

NPI #1013985134 in Jackson, Wyoming

Provider Information

NPI Number
1013985134
Entity Type
Individual
Name
John A. Sullivan, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Credential
M.D.
Enumeration Date
Mar 14, 2006
Last Updated
Sep 10, 2009

Practice Location

Address
7330 RYEGRASS ROAD
State
Wyoming
ZIP Code
83001
Phone
(307) 733-9105

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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