Individual
MR. ROBERT CASEY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3433 NW 56TH ST STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 948-4040
Mailing address
3433 NW 56TH ST STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 948-4040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2022026925
MO
Other
Enumeration date
04/06/2016
Last updated
10/07/2024
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