Individual
JOHN THOMAS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
522 W NEWTON ST STE 300, GREENSBURG, PA 15601-2890
(724) 838-7500
(724) 837-6670
Mailing address
4811 E GRANT RD STE 261, TUCSON, AZ 85712-2776
(520) 618-1010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6307
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113349
—
AZ
Enumeration date
07/24/2007
Last updated
10/21/2025
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