person
Dr. Andrew Sullivan, DO
General Practice Physician in Port Hueneme, California
NPI 1932470291

Andrew Sullivan is a General Practice Physician based in Port Hueneme, CA. Andrew Sullivan practices in Port Hueneme, CA and has the professional credentials of DO. The NPI Number for Andrew Sullivan is 1932470291 and holds a License No. 0102203574 (California).

The current practice location address for Andrew Sullivan is 162 1St St Bldg 1402, Port Hueneme, CA and can be reached out via phone at 936-523-0454 and via fax at 805-982-2071.

Location: 162 1St St Bldg 1402, Port Hueneme, CA, 93043-4316
person
Provider Profile Details
NPI Number
1932470291
Provider Name
Andrew Sullivan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
162 1St St Bldg 1402, Port Hueneme, CA, 93043-4316
Phone Number
936-523-0454
Fax Number
805-982-2071
Provider Enumeration Date
01/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
162 1St St Bldg 1402
City
State
Zip
93043-4316
Phone Number
936-523-0454
Fax Number
805-982-2071
person
Provider Business Mailing Address Details
Address
162 1St St Bldg 1402
City
State
Zip
93043-4316
Phone Number
936-523-0454
Fax Number
805-982-2071
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
0102203574 (Virginia)
Definition
Definition to come...
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