William J Sullivan D.O.

NPI 1093805897 - Internal Medicine - 207R00000X

NPI Details
NPI 1093805897
Gender Male
Enumeration Date 10/13/2006
Last Updated 03/25/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1 MED CENTER CIR
SUITE C
PITTSBURG KS, 66762-6740, US
Phone (620) 231-8849
Fax (620) 231-8847
Business Location
PO BOX 1023
FRONTENAC KS, 66763-1023, US
Phone (620) 231-8849
Fax (620) 231-8847
Toxanomy
Taxonomy Code 207R00000X
License State Kansas
License Number 05-25406
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According to our database, William J Sullivan D.O. NPI is 1093805897, taxonomy code is 207R00000X and license number is 05-25406, license state is located at Kansas. William J Sullivan D.O. physically located at 1 Med Center Cir, Pittsburg KS, 66762-6740. NPI Number William J Sullivan D.O. has the Individual type.

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1093805897 NPI number is provided on an as is basis without warranty of any kind. 1093805897 is maintained by the National Plan & Provider Enumeration System. The contents of William J Sullivan D.O. are for informational purposes only.