# ROBERT E. SULLIVAN, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417369943
- **Authorized official:** DR. ROBERT EUGENE SULLIVAN MD (SOLE OWNER)
- **Authorized official phone:** (916) 978-9777

## Contact information

- **Practice address:** 4441 AUBURN BLVD, SUITE P, SACRAMENTO, CA 95841-4139
- **Practice address phone:** (916) 457-3324
- **Practice address fax:** (916) 978-9830
- **Mailing address:** 4441 AUBURN BLVD, SUITE P, SACRAMENTO, CA 95841-4139
- **Mailing address phone:** (916) 457-3324
- **Mailing address fax:** (916) 978-9830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G31309 | CA | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/02/2014