Individual provider · Type 1 NPI

Travis Michael Sullivan, MD

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1912494295 Active

Practice location

1250 E Marshall St
Richmond, VA 23298-5051

Call (804) 828-2755 Map

Mailing address

1250 E. Marshall St., PO Box 980135
Richmond, VA 23298

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912494295

Travis Michael Sullivan, MD's National Provider Identifier is 1912494295, issued on Apr 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Apr 22, 2018.