Organization
TRITON HEALTH ELDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARY PATRICK SULLIVAN DO (MD/OWNER)
(918) 773-5228
Entity
Organization
Contact information
Practice address
305 N THORNTON ST, VIAN, OK 74962-5088
(918) 773-5228
Mailing address
PO BOX 446, VIAN, OK 74962-0446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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