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Dan Sullivan, M.D
NPI 1831301639 · on the registry since 2007
Practice
- Address
- 3780 E Pond Apple Dr
Springfield, MO 65809 - Phone
- (417) 883-7995
- Fax
- (417) 882-2560
Registry record
- Primary taxonomy
- 247100000X
247100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Missouri