Individual
DR. CONOR MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 CLAYTON RD, SAINT LOUIS, MO 63117-1002
(636) 346-2328
Mailing address
8900 CLAYTON RD, SAINT LOUIS, MO 63117-1002
(636) 346-2328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2022033745
MO
Other
Enumeration date
07/08/2021
Last updated
03/15/2023
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