Individual provider · Type 1 NPI

John A. Sullivan, MD

Diagnostic Radiology Physician · Jackson, WY

NPI number 1013985134 Active

Practice location

7330 Ryegrass Road
Jackson, WY 83001

Call (307) 733-9105 Map

Mailing address

1550 E Republic Rd
Springfield, MO 65804-6530

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XR6F03 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1013985134

John A. Sullivan, MD's National Provider Identifier is 1013985134, issued on Mar 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jackson, WY. The record was last updated on Sep 10, 2009.