Individual
PAMELA ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 EDGEWATER POINTE, SUITE: 200, LAKE ST. LOUIS, MO 63367
(636) 561-8088
(636) 561-1405
Mailing address
1000 EDGEWATER POINTE, SUITE - 200, LAKE ST. LOUIS, MO 63367
(636) 561-8088
(636) 561-1405
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
106412
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208094821
—
MO
Enumeration date
03/09/2006
Last updated
12/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us