Individual
DR. ROBERT E SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2116 HARPERS MILL RD, WILLIAMSBURG, VA 23185-7521
(757) 565-0477
Mailing address
16086 SERENITY POINT LN, ROGERS, AR 72756-8610
(479) 925-7713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101048608
VA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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