Individual provider · Type 1 NPI

Gregory L. Sullivan, DC

Chiropractor · St. Louis, MO

NPI number 1457442329 Active

Practice location

3900 Gravois Ave
St. Louis, MO 63116-3621

Fax (314) 664-9501

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5553 (MO)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1457442329

Gregory L. Sullivan, DC's National Provider Identifier is 1457442329, issued on Sep 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.