Mark S. Sullivan, M.d., Pllc
NPI #1821208182 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1821208182
- Entity Type
- Organization
- Organization Name
- Mark S. Sullivan, M.d., Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- May 23, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 3366 NW EXPRESSWAY ST
- Address 2
- SUITE 720
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-4462
- Phone
- (405) 947-0676
Authorized Official
- Name
- MARK STOVER SULLIVAN, M.D.
- Title
- PRESIDENT
- Phone
- (405) 947-0676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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