Individual provider · Type 1 NPI

Andrew Sullivan, DO

Family Medicine Physician · Pocatello, ID

NPI number 1912892001 Active

Practice location

465 Memorial Dr
Pocatello, ID 83201-4098

Call (208) 232-7862 Map

Mailing address

500 S 11th Ave Ste 400
Pocatello, ID 83201-4880

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X6071363 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1912892001

Andrew Sullivan, DO's National Provider Identifier is 1912892001, issued on Jun 10, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 10, 2025.