Individual
DR. DENNIS HENRY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W 7TH ST, GRECC (3J/NLR), LITTLE ROCK, AR 72205-5446
(501) 257-2503
(501) 257-2501
Mailing address
4300 W 7TH ST, GRECC (3J/NLR), LITTLE ROCK, AR 72205-5446
(501) 257-2503
(501) 257-2501
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
N-7225
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16770000000
QUALCHOICE
AR
01
—
5J595
BCBS
AR
01
—
N7225
TRICARE
AR
Enumeration date
08/04/2006
Last updated
09/18/2023
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