Robert Terrence Sullivan M.D.

NPI 1124198734 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1124198734
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/26/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
307 BOATNER RD
EGLIN AFB FL, 32542-1302, US
Phone (850) 883-8254
Fax
Business Location
307 BOATNER RD
EGLIN AFB FL, 32542-1302, US
Phone (850) 883-8254
Fax
Toxanomy
Taxonomy Code 207XX0005X
License State Colorado
License Number 46341
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According to our database, Robert Terrence Sullivan M.D. NPI is 1124198734, taxonomy code is 207XX0005X and license number is 46341, license state is located at Colorado. Robert Terrence Sullivan M.D. physically located at 307 Boatner Rd, Eglin Afb FL, 32542-1302. NPI Number Robert Terrence Sullivan M.D. has the Individual type.

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1124198734 NPI number is provided on an as is basis without warranty of any kind. 1124198734 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Terrence Sullivan M.D. are for informational purposes only.