Vincent E. Sullivan Md Pc

NPI 1174705628 - Surgery - 208600000X

NPI Details
NPI 1174705628
Enumeration Date 11/27/2007
Last Updated 11/27/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VINCENT EDWARD VINCENT
Position OWNER
Phone (641) 437-1576
Fax (641) 437-4205
Practice Location
19878 SAINT JOSEPH DR
CENTERVILLE IA, 52544-8850, US
Phone (641) 437-1576
Fax (641) 437-4205
Business Location
19878 SAINT JOSEPH DR
P.O. BOX 160
CENTERVILLE IA, 52544-8850, US
Phone (641) 437-1576
Fax (641) 437-4205
Toxanomy
Taxonomy Code 208600000X
License State Iowa
License Number 18213
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According to our database, Vincent E. Sullivan Md Pc NPI is 1174705628, taxonomy code is 208600000X and license number is 18213, license state is located at Iowa. Vincent E. Sullivan Md Pc physically located at 19878 Saint Joseph Dr, Centerville IA, 52544-8850. NPI Number 1033115704 has the healthcare provider type.

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1174705628 NPI number is provided on an as is basis without warranty of any kind. 1174705628 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent E. Sullivan Md Pc are for informational purposes only.