NPI 1790830792

Philip Sullivan, MD

Practitioner Psychiatry Physician Evanston, WY

Practice location

Address: 831 State Highway 150 S, Evanston, WY 82930-5340
Phone: (307) 789-3464
Fax: (307) 789-7373
Mailing address: PO Box 177, Evanston, WY 82931-0177

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 5348A (WY)

Other Psychiatry & Neurology providers in Wyoming →

Registry record

NPI: 1790830792
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2007
Record last updated: 5 Aug 2011

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.