Sullivan Medical Corporation
NPI #1790881092 in Upland, California
Provider Information
- NPI Number
- 1790881092
- Entity Type
- Organization
- Organization Name
- Sullivan Medical Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1175 E ARROW HIGHWAY SUITE B
- City
- Upland
- State
- California
- ZIP Code
- 91786
- Phone
- (909) 985-1891
Authorized Official
- Name
- MR. JOHN W SULLIVAN, MD
- Title
- VICE-PRESIDENT
- Phone
- (909) 985-1891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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