Individual
CONNOR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219
(513) 585-2422
Mailing address
2442 FOREST OAKS DR, BEAVERCREEK, OH 45431-8557
(937) 267-4407
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
05/22/2018
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