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SULLIVAN PEDIATRICS LLC NPI 1780987750


NPI Information

NPI: 1780987750
Provider Name: SULLIVAN PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2614 FORUM BLVD
COLUMBIA, MO
ZIP 65203
Phone: (573) 999-1657
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SULLIVAN PEDIATRICS, LLC is a pediatrics in Columbia, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SULLIVAN PEDIATRICS, LLC NPI is 1780987750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2614 FORUM BLVD
COLUMBIA, MO
ZIP 65203-431
Phone: (573) 999-1657
Fax: (650) 560-1839

The provider's authorized official is Janet Sullivan .
The authorized official title is Medical Director and has the following contact phone number (573) 999-1657.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 12/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics2009003022MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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