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Tyler Sullivan

NPI 1578921771 · on the registry since 2016 · sole proprietor

Practice

Address
2307 N Walker Ave
Apt. A
Oklahoma City, OK 73103
Phone
(405) 488-4617

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2016-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma