Individual
JOHN PATRICK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 329-7300
(405) 364-5379
Mailing address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 329-7300
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14800
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100824410A
—
OK
05
—
100824410B
—
OK
Enumeration date
09/21/2006
Last updated
07/25/2022
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