Organization · Type 2 NPI
Scot A Sullivan MD PC
Medical Specialty Clinic/Center · Edmond, OK
Practice location
2020 E 15th St Ste B
Edmond, OK 73013-6749
Mailing address
1025 NW Couch St Unit 819
Portland, OR 97209-4132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 20157 (OK) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Other medical specialty clinic/center providers in Edmond
About NPI 1831610641
Scot A Sullivan MD PC's National Provider Identifier is 1831610641, issued on Jun 30, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Edmond, OK. The record was last updated on Jun 30, 2017.