Mark S. Sullivan, M.D., Pllc in Oklahoma City - Specialist

Mark S. Sullivan, M.D., Pllc - NPI 1821208182

Mark S. Sullivan, M.D., Pllc is a Specialist in Oklahoma City, Oklahoma. Mark S. Sullivan, M.D., Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark S. Sullivan, M.D., Pllc is 1821208182. The last update date is 2008-04-20.

Mark S. Sullivan, M.D., Pllc's current location address is 3366 Nw Expressway, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059470676 and fax number 4059454876. The mailing address for Mark S. Sullivan, M.D., Pllc is 3366 Nw Expressway, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mark S. Sullivan, M.D., Pllc
Address 3366 Nw Expressway, Oklahoma City, Oklahoma
Phone Number 4059470676
Fax Number 4059454876
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sullivan Stover Mark
Credentials M.D.
Telephone Number 4059470676

NPI Number Detail

NPI Number 1821208182
Provider Enumeration Date 2007-05-23
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 3366 Nw Expressway
City Oklahoma City
State Oklahoma (OK)
Post Code 731124462
Phone Number 4059470676
Fax Number 4059454876

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No OKC8667
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Mark S. Sullivan, M.D., Pllc

What is the unique 10-digit identification code assigned to Mark S. Sullivan, M.D., Pllc by the Centers for Medicare & Medicaid Services?

The Mark S. Sullivan, M.D., Pllc has been issued the NPI (National Provider Identifier) 1821208182, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mark S. Sullivan, M.D., Pllc is physically located?

The Mark S. Sullivan, M.D., Pllc is situated at the following address: 3366 Nw Expressway, Oklahoma City, OK 731124462.

What is the Mark S. Sullivan, M.D., Pllc's specialty and taxonomy code?

The Mark S. Sullivan, M.D., Pllc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821208182 to Mark S. Sullivan, M.D., Pllc?

The Centers for Medicare & Medicaid Services assigned the 1821208182 to Mark S. Sullivan, M.D., Pllc on 2007-05-23.

When was the information regarding Mark S. Sullivan, M.D., Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark S. Sullivan, M.D., Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.

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