NPI 1831301639

Dan T Sullivan, MD

Practitioner Radiologic Technologist Springfield, MO

Practice location

Address: 3780 E Pond Apple Dr, Springfield, MO 65809-4147
Phone: (417) 883-7995
Fax: (417) 882-2560

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence MDR4804 (MO)

Other Radiologic Technologist providers in Missouri →

Registry record

NPI: 1831301639
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2007
Record last updated: 8 Jul 2007

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.