NPI 1003862673

C. Patrick Sullivan,do

Organisation Family Medicine Physician Vian, OK

Practice location

Address: 200 North Thornton, Vian, OK 74962-0446
Phone: (918) 773-5228
Fax: (918) 773-8482
Mailing address: PO Box 446, Vian, OK 74962-0446

Authorised official

Name: Cary Patrick Sullivan
Title: Owner
Phone: (918) 773-5228

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2148 (OK)

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1003862673
Entity type: Organization
NPI issued: 25 May 2006
Record last updated: 8 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.