Doctor Name: | DR. ANTHONY SULLIVAN |
NPI Number: | 1992775837 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 43116 |
Business Practice Address: | Usa Meddac, Evans Army Community Hospital 1650 Cochrane Circle, Dept Of Ob/gyn Fort Carson, CO - 809134604 |
Business Phone Number: | 7195267406 |
Business Fax Number: | 7195267850 |
Mailing Address: | Usa Meddac, Evans Army Community Hospital, 1650 Cochrane Circle, Attn: Credentials Office FORT CARSON |
State: | CO |
Postal Code: | 809134604 |
Phone Number: | 7195267844 |
Fax Number: | 7195267984 |
NPI Enumeration Date: | 01/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 43116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |