NPI 1154647238

Susan Sullivan, MD

Practitioner Pediatrics Physician Bentonville, AR

Practice location

Address: 3101 SE 14th St, Bentonville, AR 72712-4900
Phone: (479) 636-9234
Fax: (479) 636-0774

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence E-7987 (AR)

Other Pediatrics providers in Arkansas →

Registry record

NPI: 1154647238
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2010
Record last updated: 21 Jul 2022

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.