Individual
MRS. MARY C SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
2110 W WALNUT ST, ROGERS, AR 72756-3246
(479) 636-8238
Mailing address
3737 W WALNUT ST, ROGERS, AR 72756-1839
(479) 659-1874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2688
AR
Other
Enumeration date
07/26/2013
Last updated
02/03/2020
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