Individual provider · Type 1 NPI
Jesse George Sullivan Jr., MD
General Practice Physician · El Reno, OK
NPI number
1285675405
Active
Practice location
2001 Parkview Dr
El Reno, OK 73036-2107
Fax (405) 262-2306
Mailing address
1116 Montreal Dr
Yukon, OK 73099-5349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 12233 (OK) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
6 other providers at this address
- Canadian Valley Clinic IncGeneral Practice Physician El Reno, OK NPI 1700956240
- Medlinc IncOxygen Equipment & Supplies (DME) El Reno, OK NPI 1194728634
- Mercy Hospital El Reno, IncPhysical Therapy Clinic/Center El Reno, OK NPI 1407214620
- Russell-Murray Hospice, Inc.Community Based Hospice Care Agency El Reno, OK NPI 1629068879
- Margaret A. Mehle, MDGeneral Practice Physician El Reno, OK NPI 1346245248
- Valorie Jean Graves, PAMedical Physician Assistant El Reno, OK NPI 1144277351
Other general practice physician providers in El Reno
About NPI 1285675405
Jesse George Sullivan Jr., MD's National Provider Identifier is 1285675405, issued on Jun 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in El Reno, OK. The record was last updated on Jul 13, 2026.