Gary Sullivan

Other Technician · Festus, MO

Individual Active NPI

NPI number 1063862464

Practice location

110 N Mill St
Festus, MO 63028-1816
Phone
(636) 931-2700
Fax
(636) 931-1961

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NPI record

NPI
1063862464
Entity type
Individual (Type 1)
Enumeration date
June 16, 2016
Last updated
June 16, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Other Technician Primary 247200000X — —

Mailing address

227 Main St
Festus, MO 63028-1952
Phone
(636) 931-2700
Fax
(636) 931-5304

About Gary Sullivan

Gary Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Other Technician (code 247200000X). The practice location is 110 N Mill St, Festus, MO 63028-1816. The NPI number 1063862464 was assigned on June 16, 2016 and the record was last updated on June 16, 2016.

Frequently asked questions

What is the NPI number of Gary Sullivan?

The NPI number is 1063862464.

What is the phone number of Gary Sullivan?

The phone number listed for the practice location is (636) 931-2700.

Where is Gary Sullivan located?

110 N Mill St, Festus, MO 63028-1816.

What is the taxonomy code for Gary Sullivan?

The primary taxonomy code is 247200000X – Other Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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