DR. Garrett Gray Sullivan, M.D.

NPI #1740300094 in Westwood, Kansas

Provider Information

NPI Number: 1740300094
Entity Type: Individual
Name: DR. Garrett Gray Sullivan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 30, 2007
Last Updated: Mar 4, 2016

Practice Location

Address: 2800 W 51ST ST
City: Westwood
State: Kansas
ZIP Code: 66205-1747
Phone: (913) 626-0254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Family Medicine	207Q00000X	Primary

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