NPI 1073595377

Mark Stover Sullivan, MD

Practitioner Dermatology Physician Oklahoma City, OK

Practice location

Address: 3366 NW Expressway Suite 720, Oklahoma City, OK 73112-4462
Phone: (405) 947-0676
Fax: (405) 945-4876

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 8667 (OK)

Other Dermatology providers in Oklahoma →

Registry record

NPI: 1073595377
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2005
Record last updated: 8 Aug 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.