DR. Andrew Sullivan, D.O.

NPI #1932470291 in Port Hueneme, California

Provider Information

NPI Number: 1932470291
Entity Type: Individual
Name: DR. Andrew Sullivan, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: D.O.
Enumeration Date: Jan 19, 2012
Last Updated: Apr 23, 2015

Practice Location

Address: 162 1ST ST BLDG 1402
City: Port Hueneme
State: California
ZIP Code: 93043-4316
Phone: (936) 523-0454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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