Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIE GAIL SULLIVAN, M.D.
ActiveJULIE GAIL SULLIVAN, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1578568010 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1578568010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2005 (21.180053882648 yrs)
- Last Updated
- Jan 24, 2017
- License
-
23824 (OK)
Practice Information
- Address
-
1615 S EUCALYPTUS AVESUITE 210BROKEN ARROW, OK, 740126159Browse OK providers · Browse ZIP 74012
- Phone
- 9182546822
- Fax
- 9182546823
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.