Matthew Ryan Sullivan is a Optometrist based in Prescott, AZ. Matthew Ryan Sullivan practices in Prescott, AZ and has the professional credentials of OD. The NPI Number for Matthew Ryan Sullivan is 1053311472 and holds a License No. 1102 (Arizona).
The current practice location address for Matthew Ryan Sullivan is 980 Willow Creek Road, Prescott, AZ and can be reached out via phone at 928-778-3937 and via fax at 928-778-3939. You can also correspond with Matthew Ryan Sullivan through the mailing address at 980 WILLOW CREEK ROAD, PRESCOTT, AZ - 86301-1610 (mailing address contact number: 928-778-3937).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053311472 | 01 | AZ | INDIVIDUAL NPI |
| 410045761 | 01 | AZ | RAILROAD |
| 1285813360 | 01 | AZ | GROUP NPI |
| 64294 | 01 | AZ | MEDICARE GROUP NUMBER |
| 1102 | 01 | AZ | STATE LICENSE |
| 620353 | 05 | AZ |
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