Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES L SULLIVAN, MD
ActiveCHARLES L SULLIVAN, MD is a Orthopaedic Surgery of the Spine healthcare provider located in MISSOULA, Montana. NPI 1619929635 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery of the Spine · MISSOULA, MT
Registration Details
- NPI Number
- 1619929635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.286958290043 yrs)
- Last Updated
- Jun 2, 2011
- License
-
12035 (MT)
Practice Information
- Address
-
2360 MULLAN RDSUITE C.MISSOULA, MT, 598081811Browse MT providers · Browse ZIP 59808
- Phone
- 4067214436
- Fax
- 4067216053
- Primary Specialty
-
Orthopaedic Surgery of the Spine
207XS0106X
Other Orthopaedic Surgery of the Spine Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS A. RICKARD | M.D. | 1548260706 |
| PAUL ANDREW PUCKETT | M.D. | 1174502017 |
| TAYLOR BUCKLEY | M.D. | 1063654283 |
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.