DR. Susan Sullivan, M.D.

NPI #1154647238 in Bentonville, Arkansas

Provider Information

NPI Number: 1154647238
Entity Type: Individual
Name: DR. Susan Sullivan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 14, 2010
Last Updated: Jul 21, 2022

Practice Location

Address: 3101 SE 14TH ST
City: Bentonville
State: Arkansas
ZIP Code: 72712-4900
Phone: (479) 636-9234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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