Individual
DR. THOMAS BARRETT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13710 ST FRANCIS BLVD STE 605, MIDLOTHIAN, VA 23114-3267
(804) 764-7365
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
0101284016
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A138132
CA
Other
Enumeration date
07/09/2014
Last updated
04/17/2025
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