Mark Stover Sullivan in Oklahoma City - Dermatology
Mark Stover Sullivan - NPI 1073595377
Mark Stover Sullivan is a Dermatology in Oklahoma City, Oklahoma. Mark Stover Sullivan practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mark Stover Sullivan is 1073595377. The last update date is 2008-08-08.
Mark Stover Sullivan'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 Stover Sullivan is 3366 Nw Expressway, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stover Sullivan |
|---|---|
| Address | 3366 Nw Expressway, Oklahoma City, Oklahoma |
| Phone Number | 4059470676 |
| Fax Number | 4059454876 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073595377 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2008-08-08 |
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 | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 8667 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Stover Sullivan by the Centers for Medicare & Medicaid Services?
The Mark Stover Sullivan has been assigned the NPI (National Provider Identifier) 1073595377 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark Stover Sullivan is physically located?
The Mark Stover Sullivan is physically situated at the following address: 3366 Nw Expressway, Oklahoma City, OK, 731124462.
What is the Mark Stover Sullivan's specialty and taxonomy code?
The Mark Stover Sullivan's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did Mark Stover Sullivan receive its 1073595377 assignment from the Centers for Medicare & Medicaid Services?
The Mark Stover Sullivan was assigned its 1073595377 on 2005-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Stover Sullivan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Stover Sullivan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-08.