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Scot A Sullivan Md Pc
Medical Specialty Clinic/Center in Edmond, Oklahoma
NPI 1831610641

Scot A Sullivan Md Pc is a Medical Specialty Clinic/Center based in Portland, OK and is specialized in Medical Specialty. Scot A Sullivan Md Pc practices in Edmond, OK. The NPI Number for Scot A Sullivan Md Pc is 1831610641 and holds a License No. 20157 (Oklahoma).

The current practice location address for Scot A Sullivan Md Pc is 2020 E 15Th St Ste B, Edmond, OK and can be reached out via phone at 405-348-9993. You can also correspond with Scot A Sullivan Md Pc through the mailing address at 1025 NW COUCH ST UNIT 819, PORTLAND, OR - 97209-4132 (mailing address contact number: 503-841-7593).

Location: 2020 E 15Th St Ste B, Edmond, OK, 97209-4132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831610641
Provider Name
Scot A Sullivan Md Pc
Credential
Provider Entity Type
Organization
Address
2020 E 15Th St Ste B, Edmond, OK, 97209-4132
Phone Number
405-348-9993
Fax Number
Provider Enumeration Date
06/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 E 15Th St Ste B
City
Edmond
State
Oklahoma
Zip
73013-6749
Phone Number
405-348-9993
Fax Number
person
Provider Business Mailing Address Details
Address
2020 E 15Th St Ste B
City
Edmond
State
Oklahoma
Zip
73013-6749
Phone Number
405-348-9993
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
20157 (Oklahoma)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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