Thomas C. Sullivan, M.D.

NPI #1508895988 in Mena, Arkansas

Provider Information

NPI Number: 1508895988
Entity Type: Individual
Name: Thomas C. Sullivan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Colon & Rectal Surgery
Credential: M.D.
Enumeration Date: Jun 30, 2006
Last Updated: Feb 7, 2012

Practice Location

Address: 400 CRESTWOOD CIR
Address 2: SUITE L
City: Mena
State: Arkansas
ZIP Code: 71953-5511
Phone: (479) 394-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X	Primary

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