DR. Jesse George Sullivan JR., MD

NPI #1285675405 in El Reno, Oklahoma

Provider Information

NPI Number: 1285675405
Entity Type: Individual
Name: DR. Jesse George Sullivan JR., MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Jun 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2001 PARKVIEW DR
City: El Reno
State: Oklahoma
ZIP Code: 73036-2107
Phone: (405) 262-2114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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Organizations

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