person
Dan T Sullivan, MD
Radiologic Technologist in Springfield, Missouri
NPI 1831301639

Dan T Sullivan is a Radiologic Technologist based in Springfield, MO. Dan T Sullivan practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Dan T Sullivan is 1831301639 and holds a License No. MDR4804 (Missouri).

The current practice location address for Dan T Sullivan is 3780 E Pond Apple Dr, Springfield, MO and can be reached out via phone at 417-883-7995 and via fax at 417-882-2560.

Location: 3780 E Pond Apple Dr, Springfield, MO, 65809-4147
person
Provider Profile Details
NPI Number
1831301639
Provider Name
Dan T Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3780 E Pond Apple Dr, Springfield, MO, 65809-4147
Phone Number
417-883-7995
Fax Number
417-882-2560
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3780 E Pond Apple Dr
City
State
Zip
65809-4147
Phone Number
417-883-7995
Fax Number
417-882-2560
person
Provider Business Mailing Address Details
Address
3780 E Pond Apple Dr
City
State
Zip
65809-4147
Phone Number
417-883-7995
Fax Number
417-882-2560
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
License No.
MDR4804 (Missouri)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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