Whalio Doctors

NPI 1619710787

Triton Health Elder Care LLC

Organisation Family Medicine Physician Vian, OK

Practice location

Address
305 N Thornton St, Vian, OK 74962-5088
Phone
(918) 773-5228
Mailing address
PO Box 446, Vian, OK 74962-0446

Authorised official

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

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1619710787
Entity type
Organization
NPI issued
17 Jun 2024
Record last updated
17 Jun 2024

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.