Individual provider · Type 1 NPI

Chester Steven Sullivan, PA-C

Medical Physician Assistant · Fort Carson, CO

NPI number 1811976079 Active

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4603

Call (719) 524-4068 Map

Mailing address

3340 Oak Creek Dr E
Colorado Springs, CO 80906-4514

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1811976079

Chester Steven Sullivan, PA-C's National Provider Identifier is 1811976079, issued on Jan 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Carson, CO. The record was last updated on Jul 13, 2026.