John A. Sullivan, MD

Practice location

Address

7330 Ryegrass Road, Jackson, WY 83001

Phone

(307) 733-9105

Mailing address

1550 E Republic Rd, Springfield, MO 65804-6530

Registered specialties

Registry record

NPI

1013985134

Entity type

Individual

Sex (as registered)

Male

NPI issued

14 Mar 2006

Record last updated

10 Sep 2009

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.