Dan T Sullivan, M.D.

NPI #1831301639 in Springfield, Missouri

Provider Information

NPI Number: 1831301639
Entity Type: Individual
Name: Dan T Sullivan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist
Credential: M.D.
Enumeration Date: May 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3780 E POND APPLE DR
City: Springfield
State: Missouri
ZIP Code: 65809-4147
Phone: (417) 883-7995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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