Individual
DR. BETH ANNA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3000
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.122545
OH
208M00000X
Hospitalist Physician
Primary
35.122545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104853
—
OH
Enumeration date
07/06/2011
Last updated
03/25/2025
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