DR. Matthew Ryan Sullivan, OD

NPI #1053311472 in Prescott, Arizona

Provider Information

NPI Number: 1053311472
Entity Type: Individual
Name: DR. Matthew Ryan Sullivan, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 28, 2005
Last Updated: Jan 2, 2014

Practice Location

Address: 980 WILLOW CREEK ROAD
Address 2: SUITE 202
City: Prescott
State: Arizona
ZIP Code: 86301-1610
Phone: (928) 778-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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