Individual
DR. JOHN THOMAS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
303 SOUTHWEST 16TH STREET, SUITE #7, BENTONVILLE, AR 72712
(479) 271-8100
(479) 271-8548
Mailing address
303 SOUTHWEST 16TH STREET, SUITE #7, BENTONVILLE, AR 72712
(479) 271-8100
(479) 271-8548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1574
AR
111NS0005X
Sports Physician Chiropractor
1574
AR
Other
Enumeration date
01/19/2006
Last updated
05/05/2008
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