| Doctor Name: | DR. ROBERT E SULLIVAN |
| NPI Number: | 1720207459 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0101048608 |
| Business Practice Address: | 2116 Harpers Mill Rd Williamsburg, VA - 231857521 |
| Business Phone Number: | 7575650477 |
| Business Fax Number: | |
| Mailing Address: | 16086 Serenity Point Ln, ROGERS |
| State: | AR |
| Postal Code: | 727568610 |
| Phone Number: | 4799257713 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101048608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |