NPI 1508895988

Thomas C. Sullivan, MD

Practitioner Colon & Rectal Surgery Physician Mena, AR

Practice location

Address: 400 Crestwood Cir Suite L, Mena, AR 71953-5511
Phone: (479) 394-1414
Fax: (479) 394-2612
Mailing address: 311 Morrow St N, Mena, AR 71953-2516

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence A41748 (CA)

Other Colon & Rectal Surgery providers in Arkansas →

Registry record

NPI: 1508895988
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 7 Feb 2012

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.